This log is also available as text (s09672.txt) and as a (binary) annotation file (s09672.log).
Generated: Monday, 07-Jun-2010 13:20:28 EDT
(All dates below are surrogates.)
t0: [13:19:04 18/11/2014] tf: [07:02:39 20/11/2014] id: a41934 [view]
t0: [13:17:59 18/11/2014] tf: [07:00:59 20/11/2014] id: a41934n [view]
t0: [14:41:22 18/11/2014] tf: [04:35:39 21/11/2014] id: a42008 [view]
t0: [14:39:59 18/11/2014] tf: [09:45:59 24/11/2014] id: a42008n [view]
dd: 25060 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 70715 ds: 2 ld: ULCER OF OTH PART FOOT
dd: 25060 ds: 2 ld: DIABETES W/NEUROLOGICAL dd: 2720 ds: 4 ld: PURE HYPERCHOLESTEROLEM dd: 3572 ds: 3 ld: NEUROPATHY IN DIABETES dd: 4019 ds: 5 ld: HYPERTENSION NOS dd: 41401 ds: 1 ld: CORON ATHEROSCLER NATIVE
dd: 43330 ds: 1 ld: OC MLT BILAT ART W/O INF dd: V7283 ds: 2 ld: OTHER SPEC PRE-OP EXAM
dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 4 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 41401 ds: 1 ld: CORON ATHEROSCLER NATIVE
dd: 25060 ds: 5 ld: DIABETES W/NEUROLOGICAL dd: 2724 ds: 8 ld: HYPERLIPIDEMIA NEC/NOS dd: 3572 ds: 6 ld: NEUROPATHY IN DIABETES dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 41071 ds: 1 ld: AMI, SUBENDOCARD INFARCT dd: 41401 ds: 3 ld: CORON ATHEROSCLER NATIVE dd: 57420 ds: 4 ld: CHOLELITHIASIS NOS dd: 99672 ds: 2 ld: COMPL FROM OTH CARDIAC I
dd: 41071 ds: 1 ld: AMI, SUBENDOCARD INFARCT dd: 41401 ds: 9 ld: CORON ATHEROSCLER NATIVE dd: 4271 ds: 4 ld: PAROX VENTRIC TACHYCARD dd: 4275 ds: 8 ld: CARDIAC ARREST dd: 4280 ds: 7 ld: CONGESTIVE HEART FAILURE dd: 4375 ds: 6 ld: MOYAMOYA DISEASE dd: 78551 ds: 5 ld: CARDIOGENIC SHOCK dd: 99672 ds: 2 ld: COMPL FROM OTH CARDIAC I dd: 9971 ds: 3 ld: SURG COMPL-HEART
tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 325 u1: mg tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Atorvastatin v1: 20 u1: mg
tf: [09:52:00 31/07/2015] dt: 5289 cu: CCU de: CSRU
id: D5W el: 1 cu: CCU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [17:43:00 27/07/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 36 u1: % rs: Final st: NotStopd t0: [17:43:00 27/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
id: .45% Normal Saline el: 1 cu: CCU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
id: Cath Lab Intake el: 1 cu: CCU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push
t0: [19:00:00 27/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [19:00:00 27/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 27/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 27/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 27/07/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [19:00:00 27/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 27/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 2 u1: % st: NotStopd t0: [19:00:00 27/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [19:00:00 27/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 27/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 27/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [19:00:00 27/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [19:00:00 27/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 27/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 27/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2015] tf: [17:00:00 30/07/2015] dt: 4200 id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [19:00:00 27/07/2015] tf: [17:00:00 30/07/2015] dt: 4200 id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 27/07/2015] tf: [17:00:00 30/07/2015] dt: 4200 id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Black st: NotStopd t0: [19:00:00 27/07/2015] tf: [17:00:00 30/07/2015] dt: 4200 id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Foot, Left st: NotStopd t0: [19:00:00 27/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [19:00:00 27/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [19:00:00 27/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [19:00:00 27/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 27/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [19:00:00 27/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [19:00:00 27/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [19:00:00 27/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Procedural st: NotStopd t0: [19:00:00 27/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [19:00:00 27/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [19:00:00 27/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: Repositioned st: NotStopd t0: [19:00:00 27/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [19:00:00 27/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [19:00:00 27/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 27/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Cath st: NotStopd t0: [19:00:00 27/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [19:00:00 27/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [19:00:00 27/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [19:00:00 27/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 27/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [19:00:00 27/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 27/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 19 u1: % st: NotStopd t0: [19:00:00 27/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [19:00:00 27/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 27/07/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [19:00:00 27/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [19:00:00 27/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [19:00:00 27/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [19:00:00 27/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [19:00:00 27/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [19:00:00 27/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [19:00:00 27/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [19:00:00 27/07/2015] tf: [20:00:00 27/07/2015] dt: 60 id: Cath Lab Intake Cath Lab Intake el: 1 cu: CCU cg: RN ai: 189 vo: 450 vu: ml t0: [19:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5212 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml
t0: [19:00:00 27/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 27/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [19:00:00 27/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [19:00:00 27/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
t0: [20:00:00 27/07/2015] id: Cath Lab Intake Cath Lab Intake el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 27/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 27/07/2015] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [20:00:00 27/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 27/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [20:00:00 27/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 27/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 27/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 27/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 27/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [20:00:00 27/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [20:00:00 27/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [20:00:00 27/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 27/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 27/07/2015] id: ABI (L) el: 0 cu: CCU cg: RN v1: 0.782609 u1: . st: NotStopd t0: [20:00:00 27/07/2015] tf: [09:00:00 30/07/2015] dt: 3660 id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/07/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [20:00:00 27/07/2015] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 27/07/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Black st: NotStopd t0: [20:00:00 27/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Foot, Left st: NotStopd t0: [20:00:00 27/07/2015] id: ABI (R) el: 0 cu: CCU cg: RN v1: 0.282609 u1: . st: NotStopd t0: [20:00:00 27/07/2015] tf: [10:00:00 28/07/2015] dt: 840 id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 27/07/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 27/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 27/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 27/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: ABI Ankle BP R/L el: 0 cu: CCU cg: RN v1: 26 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:00:00 27/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med st: NotStopd t0: [20:00:00 27/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 27/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 27/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Echo st: NotStopd t0: [20:00:00 27/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 27/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 27/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 27/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: ABI Brachial BP R/L el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 27/07/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 27/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 27/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 27/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 7 u1: % st: NotStopd t0: [20:00:00 27/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 27/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 27/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 27/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 27/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 27/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/07/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 27/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 27/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 27/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 27/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 27/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 27/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 27/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 27/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5152 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 27/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 370 vu: ml
tf: [12:00:00 31/07/2015] pt: Unit Dose rt: IV fr: X1:PRN m1: Atropine Sulfate v1: 0.5 u1: mg
t0: [20:00:00 27/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [21:00:00 27/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 27/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 27/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 27/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 27/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [21:00:00 27/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [21:00:00 27/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [21:00:00 27/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:00:00 27/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [21:00:00 27/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 27/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 27/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 27/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 27/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [21:00:00 27/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.6 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 24.4 rs: Final st: NotStopd
id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ra: 11.5 ru: ml/hr
tf: [12:00:00 31/07/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Senna v1: 1 u1: TAB tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: Q24H fs: 22 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [12:00:00 31/07/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [21:00:00 27/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.4 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5092 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0.2 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5092 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 9.6 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5092 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 20.8 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5092 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 3.1 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5092 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 66.4 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.4 u1: % rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 423 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.76 u1: /mic l rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.4 rs: Final st: NotStopd
t0: [21:00:00 27/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 27/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 27/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 27/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 27/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 27/07/2015] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [21:00:00 27/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 27/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 27/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 27/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 27/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 27/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 27/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 27/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [22:00:00 27/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: On v2: Right Knee st: NotStopd t0: [22:00:00 27/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 27/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [22:00:00 27/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [22:00:00 27/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 27/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 27/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 12 u1: % st: NotStopd t0: [22:00:00 27/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 27/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [22:00:00 27/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml
t0: [22:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5032 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/07/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 27/07/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1020 ap: none t0: [23:00:00 27/07/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1020 ap: none
t0: [21:00:00 27/07/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 15 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 91 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 82 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.7 u1: mEq/L rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 rs: Final st: NotStopd t0: [21:00:00 27/07/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd
id: KCL el: 100 cu: CCU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [23:00:00 27/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 27/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 27/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 27/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 27/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [23:00:00 27/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 27/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [23:00:00 27/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 27/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 27/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: On v2: Right Knee st: NotStopd t0: [23:00:00 27/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 27/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 27/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 27/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 27/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 27/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 8 u1: % st: NotStopd t0: [23:00:00 27/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 27/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 4972 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 27/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml
t0: [23:00:00 27/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [22:59:00 27/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 206 rs: Final st: NotStopd
t0: [23:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 4972 id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 4972 id: D5W 50.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 27/07/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 171.5 cv: 201.5 ap: none
t0: [23:00:00 27/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 64 rs: Manual st: NotStopd
t0: [21:00:00 27/07/2015] tf: [09:52:00 31/07/2015] dt: 5092 id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 240 vu: ml
t0: [23:00:00 27/07/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 171.5 cv: 171.5 ap: none t0: [23:00:00 27/07/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 171.5 cv: 891.5 ap: none t0: [23:00:00 27/07/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 240 ap: none t0: [23:00:00 27/07/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 171.5 cv: -128.5 ap: none t0: [23:00:00 27/07/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 171.5 cv: -128.5 ap: none
t0: [23:17:00 27/07/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 2.14843 u1: m2 t0: [23:17:00 27/07/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 94.3 u1: kg t0: [23:17:00 27/07/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: Sulfa (Sulfonamides) t0: [23:17:00 27/07/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: NON Q MI CATH t0: [23:17:00 27/07/2015] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [23:17:00 27/07/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 66 u1: inches t0: [23:17:00 27/07/2015] id: Readmission el: 1014 cu: CCU cg: -1 t0: [23:17:00 27/07/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [23:17:00 27/07/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: PRO t0: [23:17:00 27/07/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [23:17:00 27/07/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [23:17:00 27/07/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [23:17:00 27/07/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [23:00:00 27/07/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.55814 u1: ... st: NotStopd t0: [23:00:00 27/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [23:00:00 27/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 5.54645 u1: L/min st: NotStopd
tf: [23:00:00 28/07/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 0 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm m2: NS v2: 250 u2: ml tf: [23:00:00 28/07/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 0 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
t0: [00:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 28/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 28/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 28/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [00:00:00 28/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [00:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 28/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: On v2: Right Knee st: NotStopd t0: [00:00:00 28/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 28/07/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 28/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 28/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 28/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 28/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [00:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: Procedures el: 0 cu: CCU cg: RN v1: Blood Cultured st: NotStopd t0: [00:00:00 28/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 28/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 8 u1: % st: NotStopd t0: [00:00:00 28/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 28/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 28/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [23:30:00 27/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml t0: [23:45:00 27/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vu: ml t0: [00:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml t0: [00:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [00:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [00:00:00 29/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [01:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [01:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [01:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [01:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [01:00:00 28/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med st: NotStopd t0: [01:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 28/07/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: XRAY st: NotStopd t0: [01:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml t0: [01:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 460 vu: ml
t0: [01:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [02:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [02:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 28/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [02:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 134 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 12 u1: % st: NotStopd t0: [02:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml t0: [02:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 165 vu: ml
t0: [02:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [03:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [03:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 44 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [03:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [03:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd
t0: [03:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml t0: [03:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 130 vu: ml
t0: [04:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 28/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 28/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 28/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [04:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [04:00:00 28/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [04:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 28/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: On v2: Right Knee st: NotStopd t0: [04:00:00 28/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 28/07/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 28/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 28/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 28/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 28/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 28/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 28/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 9 u1: % st: NotStopd t0: [04:00:00 28/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 28/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 28/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [04:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml t0: [04:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [04:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [05:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [05:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [05:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 11.5 vu: ml t0: [05:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml
t0: [05:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1150 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 28/07/2015] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [04:00:00 28/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 66 rs: Manual st: NotStopd t0: [04:00:00 28/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [04:00:00 28/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 5.91622 u1: L/min st: NotStopd
t0: [05:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd
t0: [05:05:00 28/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 12.6 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.9 u1: % rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 431 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 12.6 rs: Final st: NotStopd
t0: [05:05:00 28/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.6 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 32.8 rs: Final st: NotStopd
t0: [05:30:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:05:00 28/07/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 15 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 93 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 98 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 123 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 rs: Final st: NotStopd t0: [05:05:00 28/07/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd
tf: [05:00:00 29/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Furosemide v1: 40 u1: mg tf: [05:00:00 29/07/2015] pt: Unit Dose rt: PO fr: ONCE fs: 6 dn: 1 m1: Metoprolol v1: 12.5 u1: mg
t0: [06:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [06:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 28/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: On v2: Right Knee st: NotStopd t0: [06:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 28/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [06:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [06:00:00 28/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med st: NotStopd t0: [06:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 12 u1: % st: NotStopd t0: [06:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/07/2015] id: D5W 50.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 13.5 vu: ml t0: [06:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [06:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/07/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 28/07/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 28/07/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 660.5 ap: none t0: [23:00:00 28/07/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 1390.5 ap: none t0: [23:00:00 28/07/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 2945 ap: none t0: [23:00:00 28/07/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: -1554.5 ap: none t0: [23:00:00 28/07/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 2945 ap: none t0: [23:00:00 28/07/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: -1683 ap: none
t0: [06:00:00 28/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 134 rs: Manual st: NotStopd
tf: [06:00:00 29/07/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PR fr: HS:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
t0: [10:00:00 28/07/2015] id: LUE Temp/Color el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:00:00 28/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 28/07/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 2 u1: % st: NotStopd t0: [08:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [08:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [08:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 28/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [08:00:00 28/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 28/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 28/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 28/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: Repositioned st: NotStopd t0: [08:00:00 28/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Cramping st: NotStopd t0: [08:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [08:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 137 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 11 u1: % st: NotStopd t0: [08:00:00 28/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 28/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 28/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 28/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [10:00:00 28/07/2015] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [10:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 28/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 28/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [10:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [10:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 28/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 28/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 28/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [10:00:00 28/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [10:00:00 28/07/2015] id: ABI (L) el: 0 cu: CCU cg: RN v1: 0.766667 u1: . st: NotStopd t0: [10:00:00 28/07/2015] id: ABI (R) el: 0 cu: CCU cg: RN v1: 0.583333 u1: . st: NotStopd t0: [10:00:00 28/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [10:00:00 28/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [10:00:00 28/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 28/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [10:00:00 28/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [10:00:00 28/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 28/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [10:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 28/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:00:00 28/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 28/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 28/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [10:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 63 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: ABI Ankle BP R/L el: 0 cu: CCU cg: RN v1: 70 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [10:00:00 28/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Absent v2: Absent st: NotStopd t0: [10:00:00 28/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [10:00:00 28/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 141 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: ABI Brachial BP R/L el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 112 u2: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [10:00:00 28/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [10:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 28/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 28/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 28/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [08:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [09:00:00 28/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [10:00:00 28/07/2015] id: D5W 50.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml
t0: [08:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2940 id: IV #1 Reason DC'D el: 0 cu: CCU cg: RN v1: Phlebitis st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [08:00:00 28/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 28/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 28/07/2015] id: IV #1 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 15 st: NotStopd t0: [08:00:00 28/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 28/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 28/07/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: Redness st: NotStopd t0: [10:00:00 28/07/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [10:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [10:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [10:00:00 28/07/2015] tf: [17:00:00 30/07/2015] dt: 3300 id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [10:00:00 28/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 28/07/2015] tf: [17:00:00 30/07/2015] dt: 3300 id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 28/07/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: ImpSkin Wth/Lth #2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [10:00:00 28/07/2015] tf: [17:00:00 30/07/2015] dt: 3300 id: ImpSkin Wth/Lth #1 el: 0 cu: CCU cg: RN v1: 2 cm v2: 4 cm st: NotStopd t0: [10:00:00 28/07/2015] id: ImpSkin Wth/Lth #2 el: 0 cu: CCU cg: RN v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [10:00:00 28/07/2015] tf: [09:00:00 30/07/2015] dt: 2820 id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [10:00:00 28/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [10:00:00 28/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off v2: Right Knee st: NotStopd t0: [10:00:00 28/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [10:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 28/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 28/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [10:00:00 28/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Cool v2: Dry st: NotStopd t0: [10:00:00 28/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [10:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [10:00:00 28/07/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [10:00:00 28/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [10:00:00 28/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [10:00:00 28/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [10:00:00 28/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [10:00:00 28/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [10:00:00 28/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 16 u1: number st: NotStopd t0: [10:00:00 28/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml t0: [10:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml
t0: [12:00:00 28/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 2 u1: % st: NotStopd t0: [12:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [12:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:2 st: NotStopd t0: [12:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 138 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 13 u1: % st: NotStopd t0: [12:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 28/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 176 rs: Manual st: NotStopd
t0: [13:01:00 28/07/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.8658 u1: ml/dl st: NotStopd t0: [13:01:00 28/07/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [13:01:00 28/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 95 u1: % rs: Final st: NotStopd
t0: [13:01:00 28/07/2015] id: DO2I el: 0 cu: CCU cg: 140 v1: 376.5 u1: ml/m/m st: NotStopd t0: [13:05:00 28/07/2015] id: Cardiac Index el: 0 cu: CCU cg: 140 v1: 2.51163 u1: ... st: NotStopd t0: [13:05:00 28/07/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CCU cg: 140 v1: 33 rs: Final st: NotStopd t0: [13:05:00 28/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 63 rs: Final st: NotStopd t0: [13:05:00 28/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: 140 v1: 5.44999 u1: L/min st: NotStopd
t0: [13:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:2 st: NotStopd t0: [13:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 149 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 63 u1: % st: NotStopd t0: [13:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 9 u1: % st: NotStopd t0: [13:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [12:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 380 vu: ml t0: [13:00:00 28/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [13:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [13:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 260 vu: ml
t0: [13:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/07/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 730 ap: none
t0: [12:00:00 28/07/2015] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [12:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [12:00:00 28/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 28/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [12:00:00 28/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 28/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 28/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 28/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [12:00:00 28/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Absent v2: Absent st: NotStopd
t0: [15:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [15:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:2 st: NotStopd t0: [15:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 122 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 156 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 10 u1: % st: NotStopd t0: [15:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 29/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [15:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [15:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml
t0: [14:30:00 28/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [14:30:00 28/07/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.9 rs: Final st: NotStopd t0: [14:30:00 28/07/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 53.8 rs: Final st: NotStopd
t0: [16:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:2 st: NotStopd t0: [16:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [16:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [16:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 28/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [16:00:00 28/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 28/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 28/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [16:00:00 28/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd t0: [17:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 28/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 28/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 4 u1: % st: NotStopd t0: [17:00:00 28/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [17:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [17:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 28/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 28/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [17:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 28/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [17:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 123 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [17:00:00 28/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [17:00:00 28/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [17:00:00 28/07/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [17:00:00 28/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [17:00:00 28/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [17:00:00 28/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [17:00:00 28/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:00:00 28/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [17:00:00 28/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 28/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 28/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [17:00:00 28/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [17:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 60 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 127 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [17:00:00 28/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [17:00:00 28/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 166 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [17:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 28/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [17:00:00 28/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 28/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Cool v2: Dry st: NotStopd t0: [17:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 28/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [17:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 12 u1: % st: NotStopd t0: [17:00:00 28/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 28/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [17:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 28/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [17:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [17:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml
t0: [17:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 28/07/2015] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 77 rs: Final st: NotStopd t0: [14:30:00 28/07/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [14:30:00 28/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [14:30:00 28/07/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [14:30:00 28/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd
tf: [10:00:00 30/07/2015] pt: Unit Dose rt: PO fr: Q6H fs: 18, 0, 6, 12 dn: 4 m1: Cephalexin v1: 500 u1: mg
t0: [16:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 28/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [17:00:00 28/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [17:00:00 28/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 28/07/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [18:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Situational st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med st: NotStopd t0: [18:00:00 28/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [18:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 128 u1: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 140 u1: mmHg st: NotStopd t0: [18:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd
t0: [16:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [17:00:00 28/07/2015] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 28/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [17:00:00 28/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [17:00:00 28/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [17:00:00 28/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [17:00:00 28/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 28/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 28/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 28/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [17:00:00 28/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 28/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [17:00:00 28/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [18:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [15:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [17:00:00 28/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 250 vu: ml t0: [18:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [18:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [18:00:00 28/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 180 rs: Manual st: NotStopd
t0: [20:00:00 28/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 28/07/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/07/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 28/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 3 u1: % st: NotStopd t0: [20:00:00 28/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 28/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [20:00:00 28/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [20:00:00 28/07/2015] id: ABI (L) el: 0 cu: CCU cg: RN v1: 0.904762 u1: . st: NotStopd t0: [20:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 28/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [20:00:00 28/07/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [20:00:00 28/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [20:00:00 28/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 28/07/2015] id: ABI (R) el: 0 cu: CCU cg: RN v1: 0.873016 u1: . st: NotStopd t0: [20:00:00 28/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [20:00:00 28/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 28/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 28/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 28/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 28/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 28/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 28/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 28/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks st: NotStopd t0: [20:00:00 28/07/2015] id: ABI Ankle BP R/L el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 114 u2: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Situational st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: Backrub v2: Repositioned st: NotStopd t0: [20:00:00 28/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [20:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 132 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 28/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [20:00:00 28/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 28/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 149 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: ABI Brachial BP R/L el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 124 u2: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 28/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Cool v2: Dry st: NotStopd t0: [20:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 28/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [20:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 9 u1: % st: NotStopd t0: [20:00:00 28/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 28/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 28/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/07/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Withdrawn st: NotStopd t0: [20:00:00 28/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 28/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 28/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 97 u1: % rs: Manual st: NotStopd t0: [20:00:00 28/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 28/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 28/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 28/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 28/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 28/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [20:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [20:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 7 u1: % st: NotStopd t0: [21:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [21:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [21:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 129 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: ABI Brachial BP R/L el: 0 cu: CCU cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 13 u1: % st: NotStopd t0: [21:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [01:00:00 29/07/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 6.25 u1: mg
t0: [22:00:00 28/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 28/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 14 u1: % st: NotStopd t0: [22:00:00 28/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler st: NotStopd t0: [22:00:00 28/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [22:00:00 28/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 28/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 28/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [22:00:00 28/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Situational st: NotStopd t0: [22:00:00 28/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [22:00:00 28/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [22:00:00 28/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [22:00:00 28/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler st: NotStopd t0: [22:00:00 28/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 128 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 28/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 1 u1: % st: NotStopd t0: [22:00:00 28/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 28/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [22:00:00 28/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 28/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [22:00:00 28/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 105 vu: ml
t0: [22:00:00 28/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 28/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [20:00:00 28/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 28/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd t0: [22:00:00 28/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [22:00:00 28/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 28/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 28/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [22:00:00 28/07/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks v2: Off st: NotStopd t0: [22:00:00 28/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 28/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 28/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [20:00:00 28/07/2015] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 28/07/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [21:00:00 28/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 3 u1: % st: NotStopd t0: [00:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [00:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 29/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [00:00:00 29/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [00:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 29/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [00:00:00 29/07/2015] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [00:00:00 29/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [00:00:00 29/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 29/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [00:00:00 29/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 29/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 29/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 29/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 29/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 29/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 29/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 29/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks v2: Off st: NotStopd t0: [00:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Situational st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: Repositioned st: NotStopd t0: [00:00:00 29/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [00:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [00:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 29/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [00:00:00 29/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 29/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 141 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 29/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Cool v2: Dry st: NotStopd t0: [00:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 29/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [00:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 5 u1: % st: NotStopd t0: [00:00:00 29/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 29/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [00:00:00 29/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 29/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 191 rs: Manual st: NotStopd t0: [00:00:00 29/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 29/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 29/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 29/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 29/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 29/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 29/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 29/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [22:00:00 28/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [00:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [00:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [00:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 29/07/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -34.5 cv: -34.5 ap: none t0: [23:00:00 29/07/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 25.5 cv: 987.5 ap: none t0: [23:00:00 29/07/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 25.5 cv: 1197.5 ap: none t0: [23:00:00 29/07/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 60 cv: 850 ap: none t0: [23:00:00 29/07/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -34.5 cv: 347.5 ap: none t0: [23:00:00 29/07/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 60 cv: 850 ap: none t0: [23:00:00 29/07/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -34.5 cv: -1335.5 ap: none
t0: [00:00:00 29/07/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 69 u1: % st: NotStopd t0: [00:00:00 29/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 11.5 u1: gm/dl rs: Manual st: NotStopd t0: [00:00:00 29/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 69 rs: Manual st: NotStopd t0: [00:00:00 29/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 94 u1: % rs: Manual st: NotStopd
t0: [00:00:00 29/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 6.97599 u1: L/min st: NotStopd
t0: [02:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 13 u1: % st: NotStopd t0: [02:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [02:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [02:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [02:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 136 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 7 u1: % st: NotStopd t0: [02:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [02:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [02:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 29/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [00:00:00 29/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 29/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [00:00:00 29/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [00:00:00 29/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [02:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 29/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [02:00:00 29/07/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks v2: Off st: NotStopd t0: [02:00:00 29/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 29/07/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [04:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 29/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 29/07/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [04:00:00 29/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [04:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 29/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [04:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [04:00:00 29/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [04:00:00 29/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 29/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [04:00:00 29/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [04:00:00 29/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [04:00:00 29/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 29/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [04:00:00 29/07/2015] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [04:00:00 29/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [04:00:00 29/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 29/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [04:00:00 29/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 29/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 29/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 29/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 29/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 29/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 29/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks v2: Off st: NotStopd t0: [04:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Situational st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [04:00:00 29/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [04:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 135 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 29/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [04:00:00 29/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 29/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 159 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 29/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 7 u1: % st: NotStopd t0: [04:00:00 29/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 29/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 29/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 29/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:00:00 29/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 29/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 29/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 29/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 29/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 29/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 29/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 29/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [04:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [04:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [04:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 210 ap: none
t0: [04:00:00 29/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 29/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [06:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [06:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 126 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 145 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 15 u1: % st: NotStopd t0: [06:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [06:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [06:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 55 vu: ml
t0: [06:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [06:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [06:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 29/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [06:00:00 29/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 29/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [06:00:00 29/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [06:00:00 29/07/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks v2: Off st: NotStopd t0: [06:00:00 29/07/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [06:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 29/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [06:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [06:00:00 29/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 29/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 165 rs: Manual st: NotStopd
t0: [06:00:00 29/07/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 70 u1: % st: NotStopd t0: [06:00:00 29/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 70 rs: Manual st: NotStopd t0: [06:00:00 29/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [06:00:00 29/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 6.70768 u1: L/min st: NotStopd
t0: [06:30:00 29/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.8 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.8 u1: % rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.6 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 379 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.03 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.8 rs: Final st: NotStopd
tf: [08:00:00 29/07/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [06:30:00 29/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.8 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 65.9 rs: Final st: NotStopd
t0: [08:00:00 29/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 29/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 29/07/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 29/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 29/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [08:00:00 29/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [08:00:00 29/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 29/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [08:00:00 29/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [08:00:00 29/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [08:00:00 29/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 29/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [08:00:00 29/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 29/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 29/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 29/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 29/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 29/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 29/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 29/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 29/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 29/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 29/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [08:00:00 29/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 29/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 29/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 29/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 29/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 29/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 29/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 29/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 29/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 29/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 29/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 29/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 29/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 29/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [08:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [08:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:30:00 29/07/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 100 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 172 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 rs: Final st: NotStopd t0: [06:30:00 29/07/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 141 rs: Final st: NotStopd
t0: [08:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 123 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 18 u1: % st: NotStopd t0: [09:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [09:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [09:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 129 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 11 u1: % st: NotStopd t0: [09:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml
t0: [09:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [20:00:00 30/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg
t0: [10:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [10:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 130 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 152 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 1 u1: % st: NotStopd t0: [10:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [10:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [11:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml
tf: [10:00:00 30/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [12:00:00 29/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 170 rs: Manual st: NotStopd
t0: [12:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 29/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [12:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 133 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 24 u1: % st: NotStopd t0: [12:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [12:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [12:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [14:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 130 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 21 u1: % st: NotStopd t0: [14:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 29/07/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml
t0: [14:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [09:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [09:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [12:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [13:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [13:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [13:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [13:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [14:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [13:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 29/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 29/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 29/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 29/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [09:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 29/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 29/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 29/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 29/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 29/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 29/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 29/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 29/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [14:00:00 29/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 29/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 29/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [15:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [15:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [15:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [15:00:00 29/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:00:00 29/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [15:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [15:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [15:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg
t0: [16:26:00 29/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 171 rs: Final st: NotStopd t0: [16:26:00 29/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35 u1: % rs: Final st: NotStopd t0: [16:26:00 29/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd
t0: [17:00:00 29/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 178 rs: Manual st: NotStopd
t0: [15:00:00 29/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN rs: Manual st: NotStopd t0: [16:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 29/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 5 u1: % st: NotStopd t0: [16:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [16:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 41 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 23 u1: % st: NotStopd t0: [16:00:00 29/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 29/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 29/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 69 rs: Manual st: NotStopd t0: [17:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [17:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [17:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml
t0: [16:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 29/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 11.8 u1: gm/dl rs: Manual st: NotStopd t0: [16:00:00 29/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 6.29503 u1: L/min st: NotStopd
t0: [18:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: CoWker v1: CCU st: NotStopd t0: [18:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: CoWker v1: Full Code st: NotStopd t0: [18:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: CoWker v1: Yes st: NotStopd t0: [18:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: CoWker v1: Occasional st: NotStopd t0: [18:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: CoWker v1: PVC's st: NotStopd t0: [18:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: CoWker v1: 91 u1: BPM st: NotStopd t0: [18:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: CoWker v1: Normal Sinus st: NotStopd t0: [18:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: CoWker v1: 1:1 st: NotStopd t0: [18:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: CoWker v1: 34 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: CoWker v1: 52 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: CoWker v1: Universal st: NotStopd t0: [18:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: CoWker v1: 18 u1: BPM st: NotStopd t0: [18:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: CoWker v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: CoWker ai: 189 vo: 20 vu: ml t0: [18:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: CoWker ai: 107 vo: 31 vu: ml t0: [18:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: CoWker vo: 35 vu: ml
t0: [18:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: CoWker so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 147 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 9 u1: % st: NotStopd
t0: [17:00:00 29/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 150 vu: ml
t0: [17:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [19:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [19:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 122 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 156 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 10 u1: % st: NotStopd t0: [19:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [20:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 138 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 5 u1: % st: NotStopd t0: [20:00:00 29/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [20:00:00 29/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [20:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/07/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 250 vu: ml t0: [19:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [19:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [20:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [20:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [21:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [21:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml
t0: [20:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 29/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 1 u1: % st: NotStopd t0: [21:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [21:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 128 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 144 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 5 u1: % st: NotStopd t0: [21:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [22:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 21 u1: % st: NotStopd t0: [22:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [22:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [22:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 29/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 29/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 29/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 29/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 29/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [23:00:00 29/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 135 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 29/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 29/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 9 u1: % st: NotStopd t0: [23:00:00 29/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 29/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [23:00:00 29/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:30:00 29/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 262 rs: Manual st: NotStopd
id: KCL el: 100 cu: CCU cg: RN io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 100 ru: ml/hr
id: D5/.45NS el: 1 cu: CCU cg: RN io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push
t0: [00:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [00:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [00:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 64 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 151 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 10 u1: % st: NotStopd t0: [00:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vu: ml nb: 1 t0: [00:00:00 30/07/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [00:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [00:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/07/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 30/07/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 30/07/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 1166.5 ap: none t0: [23:00:00 30/07/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 2096.5 ap: none t0: [23:00:00 30/07/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1930 ap: none t0: [23:00:00 30/07/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 166.5 ap: none t0: [23:00:00 30/07/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1930 ap: none t0: [23:00:00 30/07/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: -1169 ap: none
t0: [00:00:00 30/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 30/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 30/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd
t0: [20:00:00 29/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [20:00:00 29/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 29/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 29/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 29/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 29/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 29/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [20:00:00 29/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [20:00:00 29/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 29/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 29/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 29/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 29/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 29/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 29/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 29/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 29/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 29/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [20:00:00 29/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 29/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 29/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 29/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 29/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 29/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 29/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 29/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 29/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 29/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 29/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [20:00:00 29/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [20:00:00 29/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd
t0: [20:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [22:00:00 29/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 29/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 29/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 29/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 29/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 30/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 30/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 30/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [01:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [01:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 133 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 17 u1: % st: NotStopd t0: [01:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 1 u1: % st: NotStopd t0: [02:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [02:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [02:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [02:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 14 u1: % st: NotStopd t0: [02:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 30/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [00:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 30/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 30/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 30/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 30/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [00:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 30/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 30/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 30/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 30/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 30/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [00:00:00 30/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 30/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 30/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 30/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 29/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 30/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd
t0: [03:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [03:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [03:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [03:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 19 u1: % st: NotStopd t0: [03:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/07/2015] tf: [08:00:00 30/07/2015] dt: 420 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [01:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [02:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [02:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [03:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [03:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [03:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [04:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [04:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 12 u1: % st: NotStopd t0: [04:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 30/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [00:00:00 30/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [00:00:00 30/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 30/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 30/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 30/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 30/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 30/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 30/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 30/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 30/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 30/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 30/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [04:00:00 30/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 30/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [04:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 30/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 30/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 30/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 30/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 30/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [04:00:00 30/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 30/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [04:00:00 30/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [04:00:00 30/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 30/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: ? v2: ? st: NotStopd t0: [04:00:00 30/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Post Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 30/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 30/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [04:00:00 30/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [04:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 30/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 30/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 30/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 30/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Diff to Palpate st: NotStopd t0: [04:00:00 30/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 30/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [04:00:00 30/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 30/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 30/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 30/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 30/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 30/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [04:00:00 30/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 30/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 30/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 30/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 30/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 30/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [04:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [05:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [05:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [05:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 142 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 6 u1: % st: NotStopd t0: [05:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [05:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [06:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 4 u1: % st: NotStopd t0: [06:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [06:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 141 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 4 u1: % st: NotStopd t0: [06:00:00 30/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [06:00:00 30/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [06:00:00 30/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [06:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [06:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [06:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 30/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 182 rs: Manual st: NotStopd
t0: [05:00:00 30/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.7 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 74.4 rs: Final st: NotStopd
t0: [05:00:00 30/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.5 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.7 u1: % rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.2 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 301 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.79 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.5 rs: Final st: NotStopd
t0: [05:00:00 30/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 70 rs: Manual st: NotStopd t0: [05:00:00 30/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 5.96904 u1: L/min st: NotStopd
t0: [05:00:00 30/07/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 70 u1: % st: NotStopd
t0: [05:00:00 30/07/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 225 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd
t0: [09:00:00 30/07/2015] id: IV #1 Reason DC'D el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: IV #1 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: ImpSkin Wound Base#2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: ImpSkin Wth/Lth #2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 30/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:00:00 30/07/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 30/07/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 30/07/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 30/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [08:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [08:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [08:00:00 30/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [08:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [08:00:00 30/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [08:00:00 30/07/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 30/07/2015] id: Imp Skin Cleanse #2 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Character #2 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Drain/Amt#2 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Treatment #2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [08:00:00 30/07/2015] id: ImpSkin Wth/Lth #1 el: 0 cu: CCU cg: RN v1: 2 cm v2: 4 cm st: NotStopd t0: [08:00:00 30/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [08:00:00 30/07/2015] id: Impaired Skin Site#2 el: 0 cu: CCU cg: RN v1: Foot, Right st: NotStopd t0: [08:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 30/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 30/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 30/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 30/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 30/07/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 30/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 30/07/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 30/07/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 30/07/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: Backrub v2: PO Med st: NotStopd t0: [08:00:00 30/07/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Aching st: NotStopd t0: [08:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [08:00:00 30/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [08:00:00 30/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 30/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 135 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 30/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 30/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 3 u1: % st: NotStopd t0: [08:00:00 30/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 30/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [09:00:00 30/07/2015] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [09:00:00 30/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [09:00:00 30/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [09:00:00 30/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 30/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 30/07/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 30/07/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [09:00:00 30/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CCU cg: RN v1: Off st: NotStopd t0: [09:00:00 30/07/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 30/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 30/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [09:00:00 30/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [09:00:00 30/07/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [09:00:00 30/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [09:00:00 30/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [09:00:00 30/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 30/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [09:00:00 30/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [09:00:00 30/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 17 u1: number st: NotStopd t0: [09:00:00 30/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 30/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 240 vu: ml t0: [08:00:00 30/07/2015] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 200 vu: ml st: Stopped t0: [08:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [09:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml
t0: [08:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 31/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [10:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [10:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [10:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 13 u1: % st: NotStopd t0: [10:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 46.5 vu: ml t0: [11:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [10:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:30:00 30/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 281 rs: Manual st: NotStopd
t0: [12:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 10 u1: % st: NotStopd t0: [12:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [12:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [12:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [12:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 133 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 13 u1: % st: NotStopd t0: [12:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [14:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [14:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 135 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 11 u1: % st: NotStopd
t0: [08:00:00 30/07/2015] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [10:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [10:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [10:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [10:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [12:00:00 30/07/2015] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 30/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 30/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [12:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 30/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 30/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 30/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 30/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [12:00:00 30/07/2015] id: ABI (L) el: 0 cu: CCU cg: RN v1: 0.864407 u1: . st: NotStopd t0: [12:00:00 30/07/2015] id: ABI (R) el: 0 cu: CCU cg: RN v1: 0.779661 u1: . st: NotStopd t0: [12:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 30/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 30/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 30/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 30/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 30/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 30/07/2015] id: ABI Ankle BP R/L el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 102 u2: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [12:00:00 30/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [12:00:00 30/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 30/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/07/2015] id: ABI Brachial BP R/L el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 112 u2: mmHg st: NotStopd t0: [12:00:00 30/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 30/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 30/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 30/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 30/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 30/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [14:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [14:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [14:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [14:00:00 30/07/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [14:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd
t0: [12:00:00 30/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 150 vu: ml t0: [13:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [13:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [15:00:00 30/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 240 vu: ml t0: [15:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [15:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:00:00 30/07/2015] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 930 ap: none
tf: [12:00:00 31/07/2015] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [16:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [16:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 146 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 27 u1: % st: NotStopd t0: [16:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 30/07/2015] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 30/07/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 30/07/2015] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 30/07/2015] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 30/07/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 30/07/2015] id: ImpSkin Wth/Lth #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 30/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [17:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [17:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 550 vu: ml
t0: [16:00:00 30/07/2015] id: Capillary Refill R/L el: 0 cu: CCU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 30/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [16:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 30/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 30/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 30/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 30/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [16:00:00 30/07/2015] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Rash st: NotStopd t0: [16:00:00 30/07/2015] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 30/07/2015] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Pink st: NotStopd t0: [16:00:00 30/07/2015] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Neck st: NotStopd t0: [16:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 30/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 30/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 30/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 30/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [16:00:00 30/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [16:00:00 30/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 30/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 30/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 30/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 30/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 30/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 30/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 30/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [17:00:00 30/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: CoWker v1: IABP v2: Left Femoral st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: CoWker v1: Yes st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: CoWker v1: 7 v2: 14 st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: CoWker v1: WNL st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: CoWker v1: PA line v2: Left Femoral st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: CoWker v1: Yes st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: CoWker v1: 7 v2: 13 st: NotStopd t0: [17:00:00 30/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: CoWker v1: WNL st: NotStopd t0: [17:00:00 30/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: CoWker v1: Sharp st: NotStopd t0: [17:00:00 30/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: CoWker v1: Sharp st: NotStopd t0: [17:00:00 30/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 200 rs: Manual st: NotStopd t0: [17:31:00 30/07/2015] id: SvO2 Mixed Venous Gases el: 0 cu: CCU cg: 140 v1: 62 u1: % rs: Final st: NotStopd t0: [17:31:00 30/07/2015] id: Venous CO2(Calc) VBG'S el: 0 cu: CCU cg: 140 v1: 33 rs: Final st: NotStopd t0: [17:31:00 30/07/2015] id: Venous PvCO2 VBG's el: 0 cu: CCU cg: 140 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [17:31:00 30/07/2015] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [17:31:00 30/07/2015] id: Venous pH VBG's el: 0 cu: CCU cg: 140 v1: 7.4 u1: pH rs: Final st: NotStopd
t0: [16:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 30/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 30/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [16:00:00 30/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [18:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [18:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 136 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 8 u1: % st: NotStopd t0: [18:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 30/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 11.2 u1: gm/dl rs: Manual st: NotStopd t0: [18:00:00 30/07/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 62 u1: % st: NotStopd t0: [18:00:00 30/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 62 rs: Manual st: NotStopd t0: [18:00:00 30/07/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 98 u1: % rs: Manual st: NotStopd t0: [18:00:00 30/07/2015] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 4.9742 u1: L/min st: NotStopd
t0: [18:00:00 30/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [18:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.5 vu: ml t0: [18:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml
t0: [05:00:00 30/07/2015] tf: [09:52:00 31/07/2015] dt: 1732 id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] tf: [09:52:00 31/07/2015] dt: 1732 id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] tf: [09:52:00 31/07/2015] dt: 1732 id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 3.1 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] tf: [09:52:00 31/07/2015] dt: 1732 id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 367 rs: Final st: NotStopd t0: [05:00:00 30/07/2015] tf: [09:52:00 31/07/2015] dt: 1732 id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd
t0: [20:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [20:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 44 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 133 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 9 u1: % st: NotStopd t0: [20:00:00 30/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 30/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [20:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [20:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [20:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 31/07/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg
t0: [22:00:00 30/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 30/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 30/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 30/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [22:00:00 30/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [22:00:00 30/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [22:00:00 30/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 30/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 26 u1: % st: NotStopd t0: [22:00:00 30/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 30/07/2015] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [22:00:00 30/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [22:00:00 30/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [22:00:00 30/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/07/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: -1365 ap: none
t0: [22:00:00 30/07/2015] id: ABI (L) el: 0 cu: CCU cg: RN v1: 0.821138 u1: . st: NotStopd t0: [22:00:00 30/07/2015] id: ABI (R) el: 0 cu: CCU cg: RN v1: 0.756098 u1: . st: NotStopd t0: [22:00:00 30/07/2015] id: ABI Ankle BP R/L el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 101 u2: mmHg st: NotStopd t0: [22:00:00 30/07/2015] id: ABI Brachial BP R/L el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 123 u2: mmHg st: NotStopd
t0: [00:00:00 31/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 31/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 4 u1: % st: NotStopd t0: [00:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 31/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 31/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [00:00:00 31/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 31/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 12 u1: % st: NotStopd t0: [00:00:00 31/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 31/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 31/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 31/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 31/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 31/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [02:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 31/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 31/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [02:00:00 31/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 45 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 31/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 7 u1: % st: NotStopd t0: [02:00:00 31/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 31/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 30/07/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [00:00:00 31/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [00:00:00 31/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [02:00:00 31/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [02:00:00 31/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [20:00:00 30/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 30/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: Diabetic st: NotStopd t0: [20:00:00 30/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 30/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 30/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 30/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 30/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 30/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [20:00:00 30/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 30/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [20:00:00 30/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [20:00:00 30/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [20:00:00 30/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 30/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 30/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 30/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 30/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 30/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 30/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 30/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 30/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 30/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 30/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [20:00:00 30/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [20:00:00 30/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 30/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 30/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 30/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 30/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 30/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [20:00:00 30/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 30/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 30/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 30/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 30/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 30/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 30/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 30/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 30/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 30/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 30/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [22:00:00 30/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 30/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 31/07/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 31/07/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 31/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 31/07/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 31/07/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 31/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 31/07/2015] id: Height of Bed el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 13 st: NotStopd t0: [00:00:00 31/07/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/07/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Obese st: NotStopd t0: [00:00:00 31/07/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/07/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/07/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 31/07/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 31/07/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/07/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 31/07/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 31/07/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 31/07/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 31/07/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/07/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 31/07/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 31/07/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 31/07/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Flushed st: NotStopd t0: [00:00:00 31/07/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [00:00:00 31/07/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 31/07/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/07/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/07/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/07/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 31/07/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 31/07/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 31/07/2015] id: Support Systems el: 0 cu: CCU cg: RN v1: Relative st: NotStopd t0: [00:00:00 31/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 31/07/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 31/07/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/07/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 31/07/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 31/07/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/07/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 31/07/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 31/07/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 31/07/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 31/07/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 31/07/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 31/07/2015] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 31/07/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd
t0: [04:00:00 31/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 31/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 31/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [04:00:00 31/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 44 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 139 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 31/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 10 u1: % st: NotStopd t0: [04:00:00 31/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 31/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:05:00 31/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 11.6 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.3 u1: % rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 297 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.82 u1: /mic l rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 11.6 rs: Final st: NotStopd
t0: [04:05:00 31/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.5 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 70 rs: Final st: NotStopd
t0: [06:00:00 31/07/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 196 rs: Manual st: NotStopd
t0: [06:00:00 31/07/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 31/07/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 2 u1: % st: NotStopd t0: [06:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 31/07/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 31/07/2015] id: IABP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [06:00:00 31/07/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 135 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 31/07/2015] id: BAEDP el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 10 u1: % st: NotStopd t0: [06:00:00 31/07/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [06:00:00 31/07/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [06:00:00 31/07/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [06:00:00 31/07/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/07/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1550 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 31/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [04:00:00 31/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [06:00:00 31/07/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 31 vu: ml t0: [06:00:00 31/07/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:00:00 31/07/2015] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 31/07/2015] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 124 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 124 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 320 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: -196 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 320 ap: none
t0: [04:05:00 31/07/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 100 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 213 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [04:05:00 31/07/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd
t0: [07:31:00 31/07/2015] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [07:42:00 31/07/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 385 u1: mmHg rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 206 rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35 u1: % rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.11 rs: Final st: NotStopd t0: [07:42:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd
t0: [09:25:00 31/07/2015] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
tf: [08:00:00 02/08/2015] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Aspirin v1: 325 u1: mg tf: [09:00:00 03/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 325 u1: mg
tf: [10:55:00 06/08/2015] dt: 8603 cu: CSRU de: CC1A
t0: [10:47:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 300 u1: mmHg rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 218 rs: Final st: NotStopd t0: [10:47:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [12:07:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [12:07:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [12:07:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [12:07:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [12:07:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 264 u1: mmHg rs: Final st: NotStopd t0: [12:07:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [12:07:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 221 rs: Final st: NotStopd t0: [12:07:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd
tf: [17:00:00 31/07/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml tf: [17:00:00 31/07/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg m2: Soln. v2: 100 u2: ml tf: [17:00:00 31/07/2015] pt: Unit Dose rt: IM fr: ONCE fs: 13 dn: 1 m1: Ketorolac v1: 30 u1: mg tf: [17:00:00 31/07/2015] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 13 dn: 1 m1: Glycopyrrolate v1: 0.6 u1: mg tf: [17:00:00 31/07/2015] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 13 dn: 1 m1: Neostigmine v1: 3 u1: mg tf: [12:00:00 01/08/2015] pt: Unit Dose rt: IM fr: Q6H fs: 13, 19, 1, 7 dn: 4 m1: Ketorolac v1: 15 u1: mg tf: [12:00:00 01/08/2015] pt: Unit Dose rt: NG fr: Q6H fs: 13, 19, 1, 7 dn: 4 m1: Sucralfate v1: 1 u1: gm tf: [08:00:00 02/08/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin v1: 100 u1: mg m2: D5W v2: 250 u2: ml tf: [08:00:00 02/08/2015] pt: Unit Dose rt: IV fr: PRN m1: Meperidine v1: 12.5 u1: mg tf: [08:00:00 02/08/2015] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Midazolam HCl v1: 1-2 u1: mg tf: [09:00:00 02/08/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroprusside Sodium v1: 50 u1: mg m2: D5W v2: 250 u2: ml tf: [12:00:00 02/08/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [19:00:00 02/08/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [17:00:00 06/08/2015] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [17:00:00 06/08/2015] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm tf: [17:00:00 06/08/2015] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 0.5-4.0 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Metoclopramide v1: 10 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen v1: 650 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PR fr: Q4H:PRN m1: Acetaminophen (Rectal) v1: 650 u1: mg
t0: [13:15:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.29 rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 370 u1: mmHg rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.29 rs: Final st: NotStopd
t0: [13:15:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 254 rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.04 rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [13:15:00 31/07/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
id: Epinephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions am: 2 du: mcgkgmin rt: IV Drip id: Levophed-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip id: Nitroglycerine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Dobutamine el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions am: 250 du: mcgkgmin rt: IV Drip id: Insulin el: 100 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: D5W IV Infusions el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Colloid el: 1 cu: CSRU cg: RN io: OR Colloid OR Intake du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push id: Lactated Ringers el: 1 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push id: Sterile Water el: 1 cu: CSRU cg: RN io: Sterile Water 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [13:45:00 31/07/2015] id: Fibrinogen (150-400) Coags el: 0 cu: CSRU cg: 3161 v1: 221 rs: Final st: NotStopd t0: [13:45:00 31/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [13:45:00 31/07/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 16.4 rs: Final st: NotStopd t0: [13:45:00 31/07/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 42.6 rs: Final st: NotStopd
t0: [13:45:00 31/07/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 161 rs: Final st: NotStopd
t0: [14:35:00 31/07/2015] id: BSA el: 1033 cu: CSRU cg: -1 v1: 2.14843 u1: m2 t0: [14:35:00 31/07/2015] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 94.3 u1: kg t0: [14:35:00 31/07/2015] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: Sulfa (Sulfonamides) t0: [14:35:00 31/07/2015] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: NON Q MI CATH t0: [14:35:00 31/07/2015] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [14:35:00 31/07/2015] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 66 u1: inches t0: [14:35:00 31/07/2015] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [14:35:00 31/07/2015] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: M t0: [14:35:00 31/07/2015] id: Religion el: 1000 cu: CSRU cg: -1 v1: PRO t0: [14:35:00 31/07/2015] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [14:35:00 31/07/2015] id: Ext el: 1010 cu: CSRU cg: -1 t0: [14:35:00 31/07/2015] id: PIN el: 1012 cu: CSRU cg: -1 t0: [14:35:00 31/07/2015] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [14:42:00 31/07/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 19.2308 u1: ml/cmH st: NotStopd t0: [14:42:00 31/07/2015] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [14:42:00 31/07/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [14:42:00 31/07/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:42:00 31/07/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:42:00 31/07/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.7 st: NotStopd t0: [14:42:00 31/07/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [14:42:00 31/07/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:42:00 31/07/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [14:42:00 31/07/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 18 st: NotStopd t0: [14:42:00 31/07/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [14:42:00 31/07/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [14:42:00 31/07/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 40 u1: L/m st: NotStopd t0: [14:42:00 31/07/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [14:42:00 31/07/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [14:42:00 31/07/2015] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [14:42:00 31/07/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:42:00 31/07/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:42:00 31/07/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:42:00 31/07/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:42:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [14:42:00 31/07/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [14:42:00 31/07/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [14:42:00 31/07/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [14:42:00 31/07/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [14:42:00 31/07/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [14:40:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:40:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:40:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:40:00 31/07/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [14:40:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:40:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:40:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [14:40:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:40:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [14:40:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:40:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [14:40:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:40:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [14:40:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:40:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [14:40:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:40:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:45:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:45:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:45:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:45:00 31/07/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [14:45:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:45:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:45:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [14:45:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:45:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [14:45:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [14:45:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:45:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:45:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:45:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:45:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:45:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:40:00 31/07/2015] tf: [06:00:00 02/08/2015] dt: 2360 id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:40:00 31/07/2015] tf: [10:55:00 06/08/2015] dt: 8415 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:40:00 31/07/2015] tf: [05:00:00 01/08/2015] dt: 860 id: Insulin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:40:00 31/07/2015] tf: [10:55:00 06/08/2015] dt: 8415 id: Dobutamine el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:45:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 31/07/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:45:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:45:00 31/07/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml t0: [14:45:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml t0: [14:45:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 0 vu: ml t0: [14:45:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [14:45:00 31/07/2015] tf: [20:00:00 31/07/2015] dt: 315 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 156 vu: ml
t0: [15:00:00 31/07/2015] id: ABI (L) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 31/07/2015] id: ABI (R) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 31/07/2015] id: ABI Ankle BP R/L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 31/07/2015] id: ABI Brachial BP R/L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 31/07/2015] id: OR Colloid OR Intake el: 1 cu: CSRU cg: -1 ai: 198 vo: 0 st: D/C'd t0: [15:00:00 31/07/2015] id: OR Out PACU Urine el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
tf: [17:00:00 31/07/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Dobutamine v1: 250 u1: mg m2: D5W v2: 250 u2: ml tf: [17:00:00 31/07/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml tf: [09:00:00 02/08/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml
t0: [15:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [15:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/07/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:12:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 363 u1: mmHg rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd
t0: [15:14:00 31/07/2015] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 48 rs: Final st: NotStopd t0: [15:14:00 31/07/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 81 rs: Final st: NotStopd
t0: [15:29:00 31/07/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:29:00 31/07/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd
t0: [15:29:00 31/07/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [15:29:00 31/07/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14.5 u1: cmH2O st: NotStopd t0: [15:29:00 31/07/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [15:29:00 31/07/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [15:29:00 31/07/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [15:29:00 31/07/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:29:00 31/07/2015] id: Auto-PEEP Level el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:29:00 31/07/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd
t0: [15:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.83721 u1: ... st: NotStopd t0: [15:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.63232 u1: kg x m st: NotStopd t0: [15:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.53488 u1: ... st: NotStopd t0: [15:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.5744 u1: g * m st: NotStopd t0: [15:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.2791 u1: g*m/m2 st: NotStopd t0: [15:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 8.46192 u1: kg * m st: NotStopd t0: [15:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 3.93488 u1: ... st: NotStopd t0: [15:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 86.0064 u1: g * m st: NotStopd t0: [15:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [15:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8372 u1: ... st: NotStopd t0: [15:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1009.84 u1: ... st: NotStopd t0: [15:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2169.01 u1: ... st: NotStopd t0: [15:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.6162 u1: ml st: NotStopd t0: [15:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [15:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 2 u1: % st: NotStopd t0: [15:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [15:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [15:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [15:14:00 31/07/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24.5 u1: % rs: Final st: NotStopd t0: [15:14:00 31/07/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd
t0: [15:14:00 31/07/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [15:14:00 31/07/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [15:14:00 31/07/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 34.1 rs: Final st: NotStopd
t0: [14:30:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CCU st: NotStopd t0: [14:30:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [14:30:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:30:00 31/07/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [14:45:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:15:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:15:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:15:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [15:15:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:15:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:15:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:15:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [15:15:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.2416 u1: kg x m st: NotStopd t0: [15:15:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.81395 u1: ... st: NotStopd t0: [15:15:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 81.0424 u1: g * m st: NotStopd t0: [15:15:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.6744 u1: g*m/m2 st: NotStopd t0: [15:15:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [15:15:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [15:15:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:15:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [15:15:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:15:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.7744 u1: kg * m st: NotStopd t0: [15:15:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.28837 u1: ... st: NotStopd t0: [15:15:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 27.2816 u1: g * m st: NotStopd t0: [15:15:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.6977 u1: g*m/m2 st: NotStopd t0: [15:15:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:15:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: ... st: NotStopd t0: [15:15:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1160 u1: ... st: NotStopd t0: [15:15:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2494.62 u1: ... st: NotStopd t0: [15:15:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:15:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.8235 u1: ml st: NotStopd t0: [15:15:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [15:15:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [15:30:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:30:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [15:30:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [15:30:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:30:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [15:30:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.9152 u1: kg x m st: NotStopd t0: [15:30:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.67442 u1: ... st: NotStopd t0: [15:30:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.8328 u1: g * m st: NotStopd t0: [15:30:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.2791 u1: g*m/m2 st: NotStopd t0: [15:30:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [15:30:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [15:30:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:30:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:30:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.6928 u1: kg * m st: NotStopd t0: [15:30:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.25116 u1: ... st: NotStopd t0: [15:30:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 26.4792 u1: g * m st: NotStopd t0: [15:30:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.3256 u1: g*m/m2 st: NotStopd t0: [15:30:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: ... st: NotStopd t0: [15:30:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1106.67 u1: ... st: NotStopd t0: [15:30:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2379.93 u1: ... st: NotStopd t0: [15:30:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.4059 u1: ml st: NotStopd t0: [15:30:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [15:30:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:30:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:30:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:30:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [15:45:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:45:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:45:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.83721 u1: ... st: NotStopd t0: [15:45:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:45:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:45:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:45:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:45:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:45:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:45:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [15:45:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.04712 u1: kg x m st: NotStopd t0: [15:45:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.72093 u1: ... st: NotStopd t0: [15:45:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 80.4712 u1: g * m st: NotStopd t0: [15:45:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.2093 u1: g*m/m2 st: NotStopd t0: [15:45:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [15:45:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [15:45:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:45:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [15:45:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:45:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.4888 u1: kg * m st: NotStopd t0: [15:45:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.15814 u1: ... st: NotStopd t0: [15:45:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.888 u1: g * m st: NotStopd t0: [15:45:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.5814 u1: g*m/m2 st: NotStopd t0: [15:45:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:45:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 28.3721 u1: ... st: NotStopd t0: [15:45:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1101.64 u1: ... st: NotStopd t0: [15:45:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2366.2 u1: ... st: NotStopd t0: [15:45:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:45:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61 u1: ml st: NotStopd t0: [15:45:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [15:45:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:45:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:45:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:45:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:45:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [15:15:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 31/07/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:15:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:30:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/07/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip t0: [15:45:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 31/07/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:45:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 31/07/2015] id: KneeImmobilizer/Loc el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 31/07/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [06:00:00 31/07/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [06:00:00 31/07/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [06:00:00 31/07/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [06:00:00 31/07/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 13 st: NotStopd t0: [10:00:00 31/07/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [10:00:00 31/07/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [10:00:00 31/07/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [10:00:00 31/07/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 13 st: NotStopd t0: [12:00:00 31/07/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [12:00:00 31/07/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 31/07/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [12:00:00 31/07/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 13 st: NotStopd t0: [16:00:00 31/07/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 31/07/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 31/07/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 31/07/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 31/07/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 31/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 31/07/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 31/07/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 31/07/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 31/07/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 31/07/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 31/07/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 31/07/2015] id: Height of Bed el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [16:00:00 31/07/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 31/07/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 31/07/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 31/07/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 31/07/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [16:00:00 31/07/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 31/07/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 31/07/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 31/07/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 31/07/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/07/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/07/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 31/07/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Oozing st: NotStopd t0: [16:00:00 31/07/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 31/07/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 31/07/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 31/07/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 31/07/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 31/07/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 31/07/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 31/07/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 31/07/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 31/07/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 31/07/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 31/07/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 31/07/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 31/07/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 31/07/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: Other/Remarks st: NotStopd t0: [16:00:00 31/07/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/07/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/07/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 31/07/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 31/07/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 31/07/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 31/07/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 31/07/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 31/07/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 31/07/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 31/07/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 31/07/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 31/07/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 31/07/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 31/07/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 31/07/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/07/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 31/07/2015] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [16:00:00 31/07/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 31/07/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [16:00:00 31/07/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 31/07/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 31/07/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 31/07/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 31/07/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 31/07/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 31/07/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [16:00:00 31/07/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 31/07/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 31/07/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 31/07/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [14:45:00 31/07/2015] tf: [15:00:00 31/07/2015] dt: 15 id: OR Colloid OR Intake el: 1 cu: CSRU cg: RN ai: 198 vo: 2000 vu: ml t0: [14:45:00 31/07/2015] tf: [15:00:00 31/07/2015] dt: 15 id: OR Out PACU Urine el: 1 cu: CSRU cg: RN vo: 1000 vu: ml t0: [15:00:00 31/07/2015] tf: [10:55:00 06/08/2015] dt: 8395 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 106 vo: 3500 vu: ml t0: [15:00:00 31/07/2015] tf: [10:55:00 06/08/2015] dt: 8395 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2.829 vu: ml t0: [15:00:00 31/07/2015] tf: [12:00:00 02/08/2015] dt: 2700 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 2.5 vu: ml t0: [15:00:00 31/07/2015] tf: [10:55:00 06/08/2015] dt: 8395 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 6 vu: ml t0: [15:00:00 31/07/2015] tf: [07:00:00 01/08/2015] dt: 960 id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 7.0725 vu: ml t0: [16:00:00 31/07/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 11.316 vu: ml t0: [16:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [16:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 35.3625 vu: ml t0: [16:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 28.29 vu: ml t0: [16:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 65 vu: ml
t0: [16:00:00 31/07/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Left Femoral st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 13 st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/07/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/07/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/07/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [16:00:00 31/07/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [16:00:00 31/07/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [16:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 23 u1: % st: NotStopd t0: [16:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [16:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 22 u1: % st: NotStopd t0: [16:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69767 u1: ... st: NotStopd t0: [16:00:00 31/07/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.2824 u1: kg x m st: NotStopd t0: [16:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.86047 u1: ... st: NotStopd t0: [16:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 81.396 u1: g * m st: NotStopd t0: [16:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.6744 u1: g*m/m2 st: NotStopd t0: [16:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.44528 u1: kg * m st: NotStopd t0: [16:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.13953 u1: ... st: NotStopd t0: [16:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.0312 u1: g * m st: NotStopd t0: [16:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.1628 u1: g*m/m2 st: NotStopd t0: [16:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.5116 u1: ... st: NotStopd t0: [16:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1268.97 u1: ... st: NotStopd t0: [16:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2725.93 u1: ... st: NotStopd t0: [16:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.8627 u1: ml st: NotStopd t0: [16:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [16:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [16:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [16:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [16:00:00 31/07/2015] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:15:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:15:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:15:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [16:15:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:15:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:15:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:15:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [16:15:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.0784 u1: kg x m st: NotStopd t0: [16:15:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.76744 u1: ... st: NotStopd t0: [16:15:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.4376 u1: g * m st: NotStopd t0: [16:15:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.7442 u1: g*m/m2 st: NotStopd t0: [16:15:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [16:15:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [16:15:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [16:15:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [16:15:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:15:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [16:15:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.10233 u1: ... st: NotStopd t0: [16:15:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 23.2696 u1: g * m st: NotStopd t0: [16:15:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.8372 u1: g*m/m2 st: NotStopd t0: [16:15:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [16:15:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: ... st: NotStopd t0: [16:15:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1160 u1: ... st: NotStopd t0: [16:15:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2494.62 u1: ... st: NotStopd t0: [16:15:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:15:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.4059 u1: ml st: NotStopd t0: [16:15:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [16:15:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:15:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [16:15:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [16:15:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [16:15:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 31/07/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right Femoral st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 13 st: NotStopd t0: [16:00:00 31/07/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [15:14:00 31/07/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd
t0: [16:30:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:30:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [16:30:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:30:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:30:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [16:30:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.024 u1: kg x m st: NotStopd t0: [16:30:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.72093 u1: ... st: NotStopd t0: [16:30:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.52 u1: g * m st: NotStopd t0: [16:30:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.2791 u1: g*m/m2 st: NotStopd t0: [16:30:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [16:30:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [16:30:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [16:30:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:30:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.64792 u1: kg * m st: NotStopd t0: [16:30:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.23256 u1: ... st: NotStopd t0: [16:30:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 25.5816 u1: g * m st: NotStopd t0: [16:30:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.907 u1: g*m/m2 st: NotStopd t0: [16:30:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:30:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.5116 u1: ... st: NotStopd t0: [16:30:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1125.42 u1: ... st: NotStopd t0: [16:30:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2423.36 u1: ... st: NotStopd t0: [16:30:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.7308 u1: ml st: NotStopd t0: [16:30:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [16:30:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:30:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [16:30:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [16:30:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [16:30:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [17:00:00 31/07/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Brown v2: Thick st: NotStopd t0: [17:00:00 31/07/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [17:00:00 31/07/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [17:00:00 31/07/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 31/07/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:00:00 31/07/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:00:00 31/07/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [17:00:00 31/07/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd
t0: [17:21:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 187 u1: mmHg rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [17:21:00 31/07/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.1562 u1: ml/dl st: NotStopd t0: [17:21:00 31/07/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [17:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.60465 u1: ... st: NotStopd t0: [17:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 36 u1: % st: NotStopd t0: [17:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [17:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [17:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 9.9008 u1: kg x m st: NotStopd t0: [17:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.60465 u1: ... st: NotStopd t0: [17:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 86.632 u1: g * m st: NotStopd t0: [17:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.4651 u1: g*m/m2 st: NotStopd t0: [17:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 107 u2: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.50336 u1: kg * m st: NotStopd t0: [17:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.62791 u1: ... st: NotStopd t0: [17:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 30.6544 u1: g * m st: NotStopd t0: [17:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 14.2791 u1: g*m/m2 st: NotStopd t0: [17:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7907 u1: ... st: NotStopd t0: [17:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [17:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 3446.15 u1: ... st: NotStopd t0: [17:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.6957 u1: ml st: NotStopd t0: [17:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [17:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 50 u1: % st: NotStopd t0: [17:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [17:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [17:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [17:21:00 31/07/2015] id: DO2 el: 0 cu: CSRU cg: RN v1: 840 u1: ml/min st: NotStopd t0: [17:21:00 31/07/2015] id: DO2I el: 0 cu: CSRU cg: RN v1: 390 u1: ml/m/m st: NotStopd t0: [17:21:00 31/07/2015] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 840 u1: ml/min st: NotStopd t0: [17:21:00 31/07/2015] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 390.698 u1: ml/m/m st: NotStopd t0: [17:21:00 31/07/2015] id: O2AV el: 0 cu: CSRU cg: RN v1: 840 u1: ml/min st: NotStopd t0: [17:21:00 31/07/2015] id: O2AVI el: 0 cu: CSRU cg: RN v1: 390.698 u1: ml/m/m st: NotStopd t0: [17:35:00 31/07/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [17:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:42:00 31/07/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [14:42:00 31/07/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [14:42:00 31/07/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [14:42:00 31/07/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [14:42:00 31/07/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RRT v1: Regular st: NotStopd
t0: [15:12:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 139 rs: Final st: NotStopd t0: [15:12:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 78 rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 0.88 rs: Final st: NotStopd t0: [17:21:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [17:30:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:30:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.51163 u1: ... st: NotStopd t0: [17:30:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [17:30:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [17:30:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 6.53616 u1: kg x m st: NotStopd t0: [17:30:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.02326 u1: ... st: NotStopd t0: [17:30:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.572 u1: g * m st: NotStopd t0: [17:30:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.1628 u1: g*m/m2 st: NotStopd t0: [17:30:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [17:30:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [17:30:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [17:30:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [17:30:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.27664 u1: kg * m st: NotStopd t0: [17:30:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.06047 u1: ... st: NotStopd t0: [17:30:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 23.188 u1: g * m st: NotStopd t0: [17:30:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.7907 u1: g*m/m2 st: NotStopd t0: [17:30:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 25.5814 u1: ... st: NotStopd t0: [17:30:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1096.3 u1: ... st: NotStopd t0: [17:30:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2358.57 u1: ... st: NotStopd t0: [17:30:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.102 u1: ml st: NotStopd t0: [17:30:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [17:30:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:30:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [17:30:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [17:30:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd
t0: [17:30:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4186 u1: ... st: NotStopd t0: [18:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 14 u1: % st: NotStopd t0: [18:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [18:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 6.7184 u1: kg x m st: NotStopd t0: [18:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.11628 u1: ... st: NotStopd t0: [18:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 68.476 u1: g * m st: NotStopd t0: [18:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.6279 u1: g*m/m2 st: NotStopd t0: [18:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.40448 u1: kg * m st: NotStopd t0: [18:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.11628 u1: ... st: NotStopd t0: [18:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.5072 u1: g * m st: NotStopd t0: [18:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.3953 u1: g*m/m2 st: NotStopd t0: [18:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.6512 u1: ... st: NotStopd t0: [18:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1215.38 u1: ... st: NotStopd t0: [18:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2611.57 u1: ... st: NotStopd t0: [18:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.5253 u1: ml st: NotStopd t0: [18:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [18:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 2 u1: % st: NotStopd t0: [18:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [18:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [18:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [18:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd
t0: [17:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [17:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 35.3625 vu: ml t0: [17:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 28.29 vu: ml t0: [17:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [18:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [18:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 35.3625 vu: ml t0: [18:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 28.29 vu: ml t0: [18:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [17:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 31/07/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 320 cv: 320 ap: none t0: [23:00:00 31/07/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -217.301 cv: -217.301 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 102.699 cv: 1704.01 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 102.699 cv: 8014.01 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 200 cv: 2195 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -217.301 cv: 4178.01 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 320 cv: 3836 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 581 ap: none t0: [23:00:00 31/07/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -217.301 cv: 3009.01 ap: none
t0: [16:00:00 31/07/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [15:00:00 31/07/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [15:00:00 31/07/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [15:00:00 31/07/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [15:00:00 31/07/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [15:30:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 31/07/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/07/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 31/07/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [16:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:30:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 31/07/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 31/07/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 31/07/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 31/07/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 31/07/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd
tf: [08:00:00 02/08/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Dobutamine v1: 250 u1: mg m2: D5W v2: 250 u2: ml tf: [01:00:00 03/08/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
id: Gastric Meds el: 1 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Packed RBC's el: 1 cu: CSRU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [18:07:00 31/07/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:07:00 31/07/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [18:07:00 31/07/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [18:30:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [18:30:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.83721 u1: ... st: NotStopd t0: [18:30:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:30:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:30:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [18:30:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.79824 u1: kg x m st: NotStopd t0: [18:30:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.62791 u1: ... st: NotStopd t0: [18:30:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 76.704 u1: g * m st: NotStopd t0: [18:30:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.814 u1: g*m/m2 st: NotStopd t0: [18:30:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg st: NotStopd t0: [18:30:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [18:30:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [18:30:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [18:30:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:30:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.7332 u1: kg * m st: NotStopd t0: [18:30:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.73488 u1: ... st: NotStopd t0: [18:30:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 36.72 u1: g * m st: NotStopd t0: [18:30:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 17.0698 u1: g*m/m2 st: NotStopd t0: [18:30:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [18:30:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.907 u1: ... st: NotStopd t0: [18:30:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1009.84 u1: ... st: NotStopd t0: [18:30:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2169.01 u1: ... st: NotStopd t0: [18:30:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.8039 u1: ml st: NotStopd t0: [18:30:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [18:30:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [18:30:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [18:30:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [18:30:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:22:00 31/07/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [18:22:00 31/07/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:22:00 31/07/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:22:00 31/07/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:22:00 31/07/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [18:22:00 31/07/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [18:22:00 31/07/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [18:22:00 31/07/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 18 st: NotStopd t0: [18:22:00 31/07/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [18:22:00 31/07/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.5 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.5 u1: L/min st: NotStopd t0: [18:22:00 31/07/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [18:22:00 31/07/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [18:22:00 31/07/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [18:22:00 31/07/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [18:22:00 31/07/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [18:22:00 31/07/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:22:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [18:22:00 31/07/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [18:22:00 31/07/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [18:22:00 31/07/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:22:00 31/07/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [15:00:00 31/07/2015] tf: [05:00:00 01/08/2015] dt: 840 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6 vu: ml t0: [16:00:00 31/07/2015] tf: [07:00:00 01/08/2015] dt: 900 id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 111 vo: 60 vu: ml t0: [16:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 8 vu: ml t0: [17:00:00 31/07/2015] tf: [17:00:00 01/08/2015] dt: 1440 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 500 vu: ml t0: [17:00:00 31/07/2015] tf: [10:55:00 06/08/2015] dt: 8275 id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 375 vu: ml t0: [17:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [18:00:00 31/07/2015] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 375 vu: ml t0: [18:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [19:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [19:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [19:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 35.3625 vu: ml t0: [19:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [19:00:00 31/07/2015] tf: [07:00:00 01/08/2015] dt: 720 id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [19:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [23:00:00 31/07/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 60 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none t0: [23:00:00 31/07/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 750 ap: none
t0: [19:10:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 144 u1: mmHg rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.92 rs: Final st: NotStopd t0: [19:10:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [19:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [19:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.34884 u1: ... st: NotStopd t0: [19:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [19:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [19:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 10.2816 u1: kg x m st: NotStopd t0: [19:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.7907 u1: ... st: NotStopd t0: [19:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 95.676 u1: g * m st: NotStopd t0: [19:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 44.6512 u1: g*m/m2 st: NotStopd t0: [19:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [19:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [19:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [19:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [19:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.70016 u1: kg * m st: NotStopd t0: [19:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 2.18605 u1: ... st: NotStopd t0: [19:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 43.7376 u1: g * m st: NotStopd t0: [19:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 20.3256 u1: g*m/m2 st: NotStopd t0: [19:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 31.1628 u1: ... st: NotStopd t0: [19:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 977.778 u1: ... st: NotStopd t0: [19:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2101.49 u1: ... st: NotStopd t0: [19:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.2897 u1: ml st: NotStopd t0: [19:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [19:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [19:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [19:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.2 u1: L/min st: NotStopd
t0: [19:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 31/07/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 31/07/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.25581 u1: ... st: NotStopd t0: [20:00:00 31/07/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 31/07/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/07/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 13 u1: % st: NotStopd t0: [20:00:00 31/07/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 31/07/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 31/07/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 31/07/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [20:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [20:00:00 31/07/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 31/07/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 31/07/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 31/07/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [20:00:00 31/07/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 31/07/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 31/07/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 10.8528 u1: kg x m st: NotStopd t0: [20:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.06977 u1: ... st: NotStopd t0: [20:00:00 31/07/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 31/07/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 99.2256 u1: g * m st: NotStopd t0: [20:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.0465 u1: g*m/m2 st: NotStopd t0: [20:00:00 31/07/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 31/07/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 31/07/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 31/07/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 31/07/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 31/07/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 31/07/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 31/07/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 31/07/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 31/07/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 4.1888 u1: kg * m st: NotStopd t0: [20:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.94884 u1: ... st: NotStopd t0: [20:00:00 31/07/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 31/07/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 38.2976 u1: g * m st: NotStopd t0: [20:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 17.814 u1: g*m/m2 st: NotStopd t0: [20:00:00 31/07/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/07/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 31/07/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 31/07/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 31/07/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 29.7674 u1: ... st: NotStopd t0: [20:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1097.14 u1: ... st: NotStopd t0: [20:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2355.83 u1: ... st: NotStopd t0: [20:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 31/07/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 31/07/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.2202 u1: ml st: NotStopd t0: [20:00:00 31/07/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [20:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 10 u1: % st: NotStopd t0: [20:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [20:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [20:00:00 31/07/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 31/07/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/07/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/07/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7 u1: L/min st: NotStopd t0: [20:00:00 31/07/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 31/07/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 31/07/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 31/07/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [20:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [20:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 35.3625 vu: ml t0: [20:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [20:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [20:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [21:00:00 31/07/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 31/07/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 31/07/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 31/07/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 31/07/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [21:00:00 31/07/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 31/07/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 31/07/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 18 st: NotStopd t0: [21:00:00 31/07/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [21:00:00 31/07/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 31/07/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.2 u1: cmH2O st: NotStopd t0: [21:00:00 31/07/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [21:00:00 31/07/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 31/07/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 31/07/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [21:00:00 31/07/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [21:00:00 31/07/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 31/07/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Brown v2: Thick st: NotStopd t0: [21:00:00 31/07/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 31/07/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [21:00:00 31/07/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 31/07/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.30233 u1: ... st: NotStopd t0: [21:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 7 u1: % st: NotStopd t0: [21:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [21:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [21:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 9.55944 u1: kg x m st: NotStopd t0: [21:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.46512 u1: ... st: NotStopd t0: [21:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 88.8624 u1: g * m st: NotStopd t0: [21:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.3953 u1: g*m/m2 st: NotStopd t0: [21:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.66928 u1: kg * m st: NotStopd t0: [21:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.70698 u1: ... st: NotStopd t0: [21:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 34.1088 u1: g * m st: NotStopd t0: [21:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 15.8605 u1: g*m/m2 st: NotStopd t0: [21:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 30.6977 u1: ... st: NotStopd t0: [21:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 935.211 u1: ... st: NotStopd t0: [21:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2012.12 u1: ... st: NotStopd t0: [21:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.7407 u1: ml st: NotStopd t0: [21:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 78 u1: % st: NotStopd t0: [21:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [21:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [21:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [21:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [21:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [21:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 53.0438 vu: ml t0: [21:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [21:00:00 31/07/2015] tf: [01:00:00 01/08/2015] dt: 240 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [21:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:56:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 139 u1: mmHg rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [21:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.13 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:56:00 31/07/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.0074 u1: ml/dl st: NotStopd t0: [20:56:00 31/07/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 1050 u1: ml/min st: NotStopd t0: [20:56:00 31/07/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 489 u1: ml/m/m st: NotStopd t0: [20:56:00 31/07/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 1050 u1: ml/min st: NotStopd t0: [20:56:00 31/07/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 488.372 u1: ml/m/m st: NotStopd t0: [20:56:00 31/07/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 1050 u1: ml/min st: NotStopd t0: [20:56:00 31/07/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 488.372 u1: ml/m/m st: NotStopd t0: [20:56:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 36 u1: % rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.7 rs: Final st: NotStopd t0: [20:56:00 31/07/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [21:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.06977 u1: ... st: NotStopd t0: [22:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 9 u1: % st: NotStopd t0: [22:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [22:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [22:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 10.5019 u1: kg x m st: NotStopd t0: [22:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.88372 u1: ... st: NotStopd t0: [22:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 93.8808 u1: g * m st: NotStopd t0: [22:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.7209 u1: g*m/m2 st: NotStopd t0: [22:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.51328 u1: kg * m st: NotStopd t0: [22:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.16744 u1: ... st: NotStopd t0: [22:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.4672 u1: g * m st: NotStopd t0: [22:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.4651 u1: g*m/m2 st: NotStopd t0: [22:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: ... st: NotStopd t0: [22:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1321.21 u1: ... st: NotStopd t0: [22:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2840.39 u1: ... st: NotStopd t0: [22:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.4595 u1: ml st: NotStopd t0: [22:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 11 u1: % st: NotStopd t0: [22:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [22:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [22:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.6 u1: L/min st: NotStopd
t0: [22:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [22:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [22:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 45.9712 vu: ml t0: [22:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [22:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [22:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [08:00:00 02/08/2015] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg tf: [08:00:00 02/08/2015] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [09:00:00 03/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [09:00:00 03/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg
t0: [22:33:00 31/07/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.964 u1: ml/dl st: NotStopd t0: [22:33:00 31/07/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 990 u1: ml/min st: NotStopd t0: [22:33:00 31/07/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 460.5 u1: ml/m/m st: NotStopd t0: [22:33:00 31/07/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 990 u1: ml/min st: NotStopd t0: [22:33:00 31/07/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 460.465 u1: ml/m/m st: NotStopd t0: [22:33:00 31/07/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 990 u1: ml/min st: NotStopd t0: [22:33:00 31/07/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 460.465 u1: ml/m/m st: NotStopd t0: [22:33:00 31/07/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd t0: [22:33:00 31/07/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [22:00:00 31/07/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 31/07/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 31/07/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [22:00:00 31/07/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/07/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 31/07/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 31/07/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/07/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 31/07/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [23:00:00 31/07/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 31/07/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.44186 u1: ... st: NotStopd t0: [23:00:00 31/07/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 31/07/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/07/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 12 u1: % st: NotStopd t0: [23:00:00 31/07/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 31/07/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 31/07/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [23:00:00 31/07/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 31/07/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [23:00:00 31/07/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 10.4666 u1: kg x m st: NotStopd t0: [23:00:00 31/07/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.88372 u1: ... st: NotStopd t0: [23:00:00 31/07/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 91.936 u1: g * m st: NotStopd t0: [23:00:00 31/07/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 42.7907 u1: g*m/m2 st: NotStopd t0: [23:00:00 31/07/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 31/07/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.5224 u1: kg * m st: NotStopd t0: [23:00:00 31/07/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.63721 u1: ... st: NotStopd t0: [23:00:00 31/07/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 30.94 u1: g * m st: NotStopd t0: [23:00:00 31/07/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 14.3721 u1: g*m/m2 st: NotStopd t0: [23:00:00 31/07/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 31/07/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 30.2326 u1: ... st: NotStopd t0: [23:00:00 31/07/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1037.84 u1: ... st: NotStopd t0: [23:00:00 31/07/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2232.56 u1: ... st: NotStopd t0: [23:00:00 31/07/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 31/07/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.9123 u1: ml st: NotStopd t0: [23:00:00 31/07/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [23:00:00 31/07/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 9 u1: % st: NotStopd t0: [23:00:00 31/07/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 31/07/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [23:00:00 31/07/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [23:00:00 31/07/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 31/07/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.4 u1: L/min st: NotStopd
t0: [23:00:00 31/07/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [23:00:00 31/07/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [23:00:00 31/07/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 70.725 vu: ml t0: [23:00:00 31/07/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [23:00:00 31/07/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 31/07/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/07/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/07/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [22:00:00 01/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [20:00:00 31/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 31/07/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 31/07/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 31/07/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [22:00:00 31/07/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 31/07/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.16279 u1: ... st: NotStopd t0: [00:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 01/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 3 u1: % st: NotStopd t0: [00:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 01/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 01/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [00:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [00:00:00 01/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 01/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 01/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 01/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [00:00:00 01/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 01/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 01/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.50816 u1: kg x m st: NotStopd t0: [00:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.95349 u1: ... st: NotStopd t0: [00:00:00 01/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 01/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.5696 u1: g * m st: NotStopd t0: [00:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.9535 u1: g*m/m2 st: NotStopd t0: [00:00:00 01/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 01/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 01/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 01/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 01/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.68192 u1: kg * m st: NotStopd t0: [00:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.24651 u1: ... st: NotStopd t0: [00:00:00 01/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 01/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 01/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.8752 u1: g * m st: NotStopd t0: [00:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.6512 u1: g*m/m2 st: NotStopd t0: [00:00:00 01/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 01/08/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.9767 u1: ... st: NotStopd t0: [00:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1000 u1: ... st: NotStopd t0: [00:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2151.9 u1: ... st: NotStopd t0: [00:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 01/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.6271 u1: ml st: NotStopd t0: [00:00:00 01/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 76 u1: % st: NotStopd t0: [00:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [00:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [00:00:00 01/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [00:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.8 u1: L/min st: NotStopd t0: [00:00:00 01/08/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 01/08/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 01/08/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [00:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 8 vu: ml t0: [00:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 63.6525 vu: ml t0: [00:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [00:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [00:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.22 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:10:00 01/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.0229 u1: ml/dl st: NotStopd t0: [00:10:00 01/08/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 1020 u1: ml/min st: NotStopd t0: [00:10:00 01/08/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 474 u1: ml/m/m st: NotStopd t0: [00:10:00 01/08/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 1020 u1: ml/min st: NotStopd t0: [00:10:00 01/08/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 474.419 u1: ml/m/m st: NotStopd t0: [00:10:00 01/08/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 1020 u1: ml/min st: NotStopd t0: [00:10:00 01/08/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 474.419 u1: ml/m/m st: NotStopd t0: [00:10:00 01/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 144 u1: mmHg rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [00:10:00 01/08/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [01:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [01:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 8 vu: ml t0: [01:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 16.974 vu: ml t0: [01:00:00 01/08/2015] tf: [10:55:00 06/08/2015] dt: 7795 id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 77.7975 vu: ml t0: [01:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [01:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.30233 u1: ... st: NotStopd t0: [01:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 6 u1: % st: NotStopd t0: [01:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [01:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [01:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 9.84912 u1: kg x m st: NotStopd t0: [01:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.55814 u1: ... st: NotStopd t0: [01:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 86.0064 u1: g * m st: NotStopd t0: [01:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [01:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.99336 u1: kg * m st: NotStopd t0: [01:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.3907 u1: ... st: NotStopd t0: [01:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 26.1392 u1: g * m st: NotStopd t0: [01:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.1395 u1: g*m/m2 st: NotStopd t0: [01:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8372 u1: ... st: NotStopd t0: [01:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1059.15 u1: ... st: NotStopd t0: [01:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2278.79 u1: ... st: NotStopd t0: [01:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.7391 u1: ml st: NotStopd t0: [01:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [01:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 3 u1: % st: NotStopd t0: [01:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [01:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [01:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [01:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.23 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.83721 u1: ... st: NotStopd t0: [02:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 14 u1: % st: NotStopd t0: [02:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [02:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [02:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.21304 u1: kg x m st: NotStopd t0: [02:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.81395 u1: ... st: NotStopd t0: [02:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.3592 u1: g * m st: NotStopd t0: [02:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.0233 u1: g*m/m2 st: NotStopd t0: [02:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.57176 u1: kg * m st: NotStopd t0: [02:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.19535 u1: ... st: NotStopd t0: [02:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.3448 u1: g * m st: NotStopd t0: [02:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.3721 u1: g*m/m2 st: NotStopd t0: [02:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.6512 u1: ... st: NotStopd t0: [02:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1180.33 u1: ... st: NotStopd t0: [02:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2535.21 u1: ... st: NotStopd t0: [02:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.0435 u1: ml st: NotStopd t0: [02:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [02:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 3 u1: % st: NotStopd t0: [02:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [02:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [02:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd
t0: [02:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 8 vu: ml t0: [02:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 11.316 vu: ml t0: [02:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 81.3338 vu: ml t0: [02:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [23:00:00 01/08/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 01/08/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -89.3913 cv: -89.3913 ap: none t0: [23:00:00 01/08/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 20.6087 cv: 1471.6 ap: none t0: [23:00:00 01/08/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 20.6087 cv: 1991.6 ap: none t0: [23:00:00 01/08/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 110 cv: 2755 ap: none t0: [23:00:00 01/08/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -89.3913 cv: -963.403 ap: none t0: [23:00:00 01/08/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 110 cv: 2955 ap: none t0: [23:00:00 01/08/2015] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 200 ap: none t0: [23:00:00 01/08/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -89.3913 cv: 2045.61 ap: none
t0: [02:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.21 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:14:00 01/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 78 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 37 u1: % rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:00:00 01/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 31/07/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 01/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 01/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [01:00:00 01/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88372 u1: ... st: NotStopd t0: [03:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 15 u1: % st: NotStopd t0: [03:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [03:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [03:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.432 u1: kg x m st: NotStopd t0: [03:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.90698 u1: ... st: NotStopd t0: [03:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 76.16 u1: g * m st: NotStopd t0: [03:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.3488 u1: g*m/m2 st: NotStopd t0: [03:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.78256 u1: kg * m st: NotStopd t0: [03:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.29302 u1: ... st: NotStopd t0: [03:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 25.1328 u1: g * m st: NotStopd t0: [03:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.6744 u1: g*m/m2 st: NotStopd t0: [03:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.0465 u1: ... st: NotStopd t0: [03:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1161.29 u1: ... st: NotStopd t0: [03:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2500 u1: ... st: NotStopd t0: [03:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.8559 u1: ml st: NotStopd t0: [03:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [03:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 4 u1: % st: NotStopd t0: [03:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [03:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [03:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [03:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [03:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 4 vu: ml t0: [03:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 8.487 vu: ml t0: [03:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 74.2612 vu: ml t0: [03:00:00 01/08/2015] tf: [05:00:00 01/08/2015] dt: 120 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [03:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:01:00 01/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.6 u1: % rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 u1: gm/dl rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 210 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.98 u1: /mic l rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [02:14:00 01/08/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.812 u1: ml/dl st: NotStopd t0: [02:14:00 01/08/2015] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 976 u1: ml/min st: NotStopd t0: [02:14:00 01/08/2015] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 454.4 u1: ml/m/m st: NotStopd t0: [02:14:00 01/08/2015] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 976 u1: ml/min st: NotStopd t0: [02:14:00 01/08/2015] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 453.953 u1: ml/m/m st: NotStopd t0: [02:14:00 01/08/2015] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 976 u1: ml/min st: NotStopd t0: [02:14:00 01/08/2015] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 453.953 u1: ml/m/m st: NotStopd
t0: [02:01:00 01/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 68 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [02:01:00 01/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.1 rs: Final st: NotStopd t0: [02:01:00 01/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 30.2 rs: Final st: NotStopd
t0: [04:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 13 u1: % st: NotStopd t0: [04:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 01/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [04:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [04:00:00 01/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 01/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 01/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 01/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [04:00:00 01/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 01/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 01/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [04:00:00 01/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 01/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 01/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 01/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 01/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 01/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 01/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 01/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 01/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 01/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 01/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 01/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 01/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [04:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 1 u1: % st: NotStopd t0: [04:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 01/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 01/08/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [04:00:00 01/08/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 01/08/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [04:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 4 vu: ml t0: [04:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 5.658 vu: ml t0: [04:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 70.725 vu: ml t0: [04:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [04:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.19 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:05:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 3.5814 u1: ... st: NotStopd t0: [04:05:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: 3161 v1: 2033.52 u1: ... st: NotStopd t0: [04:05:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 65 rs: Final st: NotStopd t0: [04:05:00 01/08/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 76 rs: Final st: NotStopd t0: [04:05:00 01/08/2015] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 7.72572 u1: L/min st: NotStopd
t0: [04:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [04:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.0784 u1: kg x m st: NotStopd t0: [04:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.76744 u1: ... st: NotStopd t0: [04:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.052 u1: g * m st: NotStopd t0: [04:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.4186 u1: g*m/m2 st: NotStopd t0: [04:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.448 u1: kg * m st: NotStopd t0: [04:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.13953 u1: ... st: NotStopd t0: [04:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.44 u1: g * m st: NotStopd t0: [04:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.4186 u1: g*m/m2 st: NotStopd t0: [04:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 25.5814 u1: ... st: NotStopd t0: [04:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1213.33 u1: ... st: NotStopd t0: [04:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2609.32 u1: ... st: NotStopd t0: [04:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.0459 u1: ml st: NotStopd t0: [04:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [04:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [04:00:00 01/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
id: Levophed-k el: 101 cu: CSRU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions am: 16 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ra: 14.145 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [05:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.30233 u1: ... st: NotStopd t0: [05:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 12 u1: % st: NotStopd t0: [05:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [05:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [05:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 9.1732 u1: kg x m st: NotStopd t0: [05:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.27907 u1: ... st: NotStopd t0: [05:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.812 u1: g * m st: NotStopd t0: [05:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.7442 u1: g*m/m2 st: NotStopd t0: [05:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.57272 u1: kg * m st: NotStopd t0: [05:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.66047 u1: ... st: NotStopd t0: [05:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 30.6952 u1: g * m st: NotStopd t0: [05:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 14.2791 u1: g*m/m2 st: NotStopd t0: [05:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [05:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 28.3721 u1: ... st: NotStopd t0: [05:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 935.211 u1: ... st: NotStopd t0: [05:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2012.12 u1: ... st: NotStopd t0: [05:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.2069 u1: ml st: NotStopd t0: [05:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [05:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [05:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [05:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd
t0: [05:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 01/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [06:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.2093 u1: ... st: NotStopd t0: [06:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 13 u1: % st: NotStopd t0: [06:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [06:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [06:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.35176 u1: kg x m st: NotStopd t0: [06:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.90698 u1: ... st: NotStopd t0: [06:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.2032 u1: g * m st: NotStopd t0: [06:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5581 u1: g*m/m2 st: NotStopd t0: [06:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.09672 u1: kg * m st: NotStopd t0: [06:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.44186 u1: ... st: NotStopd t0: [06:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 26.0304 u1: g * m st: NotStopd t0: [06:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.093 u1: g*m/m2 st: NotStopd t0: [06:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.9767 u1: ... st: NotStopd t0: [06:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 939.13 u1: ... st: NotStopd t0: [06:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2018.69 u1: ... st: NotStopd t0: [06:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.4746 u1: ml st: NotStopd t0: [06:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [06:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [05:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [05:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [05:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 5.658 vu: ml t0: [05:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 67.1888 vu: ml t0: [05:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [06:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 01/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 01/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [07:00:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 121 rs: Manual st: NotStopd
t0: [07:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.16279 u1: ... st: NotStopd t0: [07:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 9 u1: % st: NotStopd t0: [07:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [07:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [07:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.04576 u1: kg x m st: NotStopd t0: [07:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.72093 u1: ... st: NotStopd t0: [07:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.992 u1: g * m st: NotStopd t0: [07:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.0233 u1: g*m/m2 st: NotStopd t0: [07:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.95936 u1: kg * m st: NotStopd t0: [07:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.37674 u1: ... st: NotStopd t0: [07:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 26.112 u1: g * m st: NotStopd t0: [07:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.1395 u1: g*m/m2 st: NotStopd t0: [07:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.907 u1: ... st: NotStopd t0: [07:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 917.647 u1: ... st: NotStopd t0: [07:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1974.68 u1: ... st: NotStopd t0: [07:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.6491 u1: ml st: NotStopd t0: [07:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 76 u1: % st: NotStopd t0: [07:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [07:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [07:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.8 u1: L/min st: NotStopd
t0: [06:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [06:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [06:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: RN ai: 255 vo: 5.658 vu: ml t0: [06:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 14.145 vu: ml t0: [06:00:00 01/08/2015] tf: [07:00:00 01/08/2015] dt: 60 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [07:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [07:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [07:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 13.2609 vu: ml t0: [07:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [07:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 01/08/2015] id: Dobutamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 01/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 01/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 01/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [07:00:00 01/08/2015] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 111 vo: 0 st: D/C'd t0: [07:00:00 01/08/2015] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 255 vo: 0 st: D/C'd t0: [07:00:00 01/08/2015] id: Gastric Oral Gastric el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [08:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.2093 u1: ... st: NotStopd t0: [08:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 6 u1: % st: NotStopd t0: [08:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [08:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [08:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 9.19632 u1: kg x m st: NotStopd t0: [08:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.27907 u1: ... st: NotStopd t0: [08:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 82.6336 u1: g * m st: NotStopd t0: [08:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.6047 u1: g*m/m2 st: NotStopd t0: [08:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.19056 u1: kg * m st: NotStopd t0: [08:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.48372 u1: ... st: NotStopd t0: [08:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 28.6688 u1: g * m st: NotStopd t0: [08:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 13.3488 u1: g*m/m2 st: NotStopd t0: [08:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 28.8372 u1: ... st: NotStopd t0: [08:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1020.29 u1: ... st: NotStopd t0: [08:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2193.15 u1: ... st: NotStopd t0: [08:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.1622 u1: ml st: NotStopd t0: [08:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [08:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 6 u1: % st: NotStopd t0: [08:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [08:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [08:00:00 01/08/2015] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.54751 u1: m2 st: NotStopd t0: [08:00:00 01/08/2015] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.79784 u1: m2 st: NotStopd t0: [08:00:00 01/08/2015] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [08:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.9 u1: L/min st: NotStopd
t0: [08:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.18 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 01/08/2015] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 01/08/2015] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 01/08/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 01/08/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 01/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [08:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 01/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 01/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 01/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Right Femoral st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: Ecchymotic st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Left IJ st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [08:00:00 01/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 01/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/08/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/08/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [08:00:00 01/08/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [08:00:00 01/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 01/08/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [08:00:00 01/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 01/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [08:00:00 01/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 01/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 01/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 01/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 01/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 01/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 01/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 01/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 01/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 01/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 01/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 01/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Withdrawn st: NotStopd t0: [08:00:00 01/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 01/08/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 01/08/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 01/08/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 01/08/2015] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [08:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [08:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [08:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 15.9131 vu: ml
t0: [08:30:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd
t0: [08:30:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88372 u1: ... st: NotStopd t0: [09:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 10 u1: % st: NotStopd t0: [09:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [09:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.84176 u1: kg x m st: NotStopd t0: [09:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.62791 u1: ... st: NotStopd t0: [09:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.0936 u1: g * m st: NotStopd t0: [09:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.4884 u1: g*m/m2 st: NotStopd t0: [09:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [09:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.36096 u1: kg * m st: NotStopd t0: [09:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.09767 u1: ... st: NotStopd t0: [09:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 21.7056 u1: g * m st: NotStopd t0: [09:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.093 u1: g*m/m2 st: NotStopd t0: [09:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.5116 u1: ... st: NotStopd t0: [09:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1083.87 u1: ... st: NotStopd t0: [09:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2333.33 u1: ... st: NotStopd t0: [09:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.4074 u1: ml st: NotStopd t0: [09:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [09:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 8 u1: % st: NotStopd t0: [09:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [09:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [09:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [09:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [09:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [09:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 15.0291 vu: ml
t0: [09:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.14 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:07:00 01/08/2015] id: SvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 v1: 67 u1: % rs: Final st: NotStopd t0: [09:07:00 01/08/2015] id: Venous CO2(Calc) VBG'S el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [09:07:00 01/08/2015] id: Venous PvCO2 VBG's el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [09:07:00 01/08/2015] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [09:07:00 01/08/2015] id: Venous pH VBG's el: 0 cu: CSRU cg: 3161 v1: 7.33 u1: pH rs: Final st: NotStopd
t0: [09:19:00 01/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [09:19:00 01/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [09:19:00 01/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [09:19:00 01/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [09:19:00 01/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd
t0: [09:00:00 01/08/2015] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 67 rs: Manual st: NotStopd t0: [09:00:00 01/08/2015] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 5.31143 u1: L/min st: NotStopd t0: [09:19:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Final st: NotStopd t0: [09:19:00 01/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.01 rs: Final st: NotStopd
t0: [09:30:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CCU st: NotStopd t0: [09:30:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:30:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:30:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:30:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [09:30:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [09:30:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:30:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:30:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [09:30:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:30:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [09:30:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:30:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:30:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.13 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CCU st: NotStopd t0: [10:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69767 u1: ... st: NotStopd t0: [10:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [10:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.17808 u1: kg x m st: NotStopd t0: [10:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.34884 u1: ... st: NotStopd t0: [10:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.1176 u1: g * m st: NotStopd t0: [10:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.3023 u1: g*m/m2 st: NotStopd t0: [10:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [10:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.60304 u1: kg * m st: NotStopd t0: [10:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.2093 u1: ... st: NotStopd t0: [10:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.8888 u1: g * m st: NotStopd t0: [10:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.6512 u1: g*m/m2 st: NotStopd t0: [10:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 23.7209 u1: ... st: NotStopd t0: [10:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1117.24 u1: ... st: NotStopd t0: [10:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2400 u1: ... st: NotStopd t0: [10:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.3274 u1: ml st: NotStopd t0: [10:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [10:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [10:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [10:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [10:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.13 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/08/2015] tf: [10:55:00 06/08/2015] dt: 7255 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vu: ml t0: [09:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vu: ml t0: [10:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [23:00:00 01/08/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 520 ap: none
tf: [21:00:00 01/08/2015] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg
t0: [11:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CCU st: NotStopd t0: [11:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88372 u1: ... st: NotStopd t0: [11:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 10 u1: % st: NotStopd t0: [11:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [11:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [11:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.75744 u1: kg x m st: NotStopd t0: [11:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.62791 u1: ... st: NotStopd t0: [11:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.5648 u1: g * m st: NotStopd t0: [11:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.6279 u1: g*m/m2 st: NotStopd t0: [11:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [11:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.61392 u1: kg * m st: NotStopd t0: [11:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.21395 u1: ... st: NotStopd t0: [11:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.7664 u1: g * m st: NotStopd t0: [11:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.6047 u1: g*m/m2 st: NotStopd t0: [11:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 25.1163 u1: ... st: NotStopd t0: [11:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1070.97 u1: ... st: NotStopd t0: [11:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2305.56 u1: ... st: NotStopd t0: [11:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.913 u1: ml st: NotStopd t0: [11:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [11:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 7 u1: % st: NotStopd t0: [11:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [11:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [11:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [11:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 20 vu: ml t0: [11:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [11:00:00 01/08/2015] id: D5W 250.0ml + 16mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 23.4277 vu: ml
t0: [11:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 01/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 01/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 01/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 01/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/08/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: On st: NotStopd t0: [10:00:00 01/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 01/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 01/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 01/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [12:00:00 01/08/2015] id: Height of Bed el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [12:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [12:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [12:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [12:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 6.98088 u1: kg x m st: NotStopd t0: [12:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25581 u1: ... st: NotStopd t0: [12:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.16 u1: g * m st: NotStopd t0: [12:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: g*m/m2 st: NotStopd t0: [12:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [12:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [12:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.56768 u1: kg * m st: NotStopd t0: [12:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.19535 u1: ... st: NotStopd t0: [12:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 21.76 u1: g * m st: NotStopd t0: [12:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.1395 u1: g*m/m2 st: NotStopd t0: [12:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 23.2558 u1: ... st: NotStopd t0: [12:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1057.63 u1: ... st: NotStopd t0: [12:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2277.37 u1: ... st: NotStopd t0: [12:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50 u1: ml st: NotStopd t0: [12:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [12:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [12:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [12:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [12:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [12:00:00 01/08/2015] tf: [11:00:00 02/08/2015] dt: 1380 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [12:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 11.0508 vu: ml t0: [12:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [12:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.125 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/08/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [10:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [10:00:00 01/08/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [10:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [10:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [10:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [10:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [10:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [10:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 01/08/2015] id: CT #2 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 01/08/2015] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 01/08/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 01/08/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [12:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 01/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 01/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 01/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 01/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 01/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 01/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 01/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 01/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 01/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 01/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [12:00:00 01/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 01/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 01/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 01/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 01/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 01/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 01/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [12:00:00 01/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 01/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 01/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 01/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 01/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 01/08/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [12:00:00 01/08/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 01/08/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 01/08/2015] id: CT #2 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd
t0: [13:00:00 01/08/2015] id: Diastolic Unloading el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: IABP Mean el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: Assisted Systole el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: Augmented Diastole el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: BAEDP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 01/08/2015] id: Systolic Unloading el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [13:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [13:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.88372 u1: ... st: NotStopd t0: [13:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [13:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 01/08/2015] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [13:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.33584 u1: kg x m st: NotStopd t0: [13:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.39535 u1: ... st: NotStopd t0: [13:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 62.7096 u1: g * m st: NotStopd t0: [13:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.3023 u1: g*m/m2 st: NotStopd t0: [13:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [13:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [13:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [13:00:00 01/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Sheath D/C st: NotStopd t0: [13:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.28848 u1: kg * m st: NotStopd t0: [13:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.53023 u1: ... st: NotStopd t0: [13:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 28.1112 u1: g * m st: NotStopd t0: [13:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 13.0698 u1: g*m/m2 st: NotStopd t0: [13:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.6512 u1: ... st: NotStopd t0: [13:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 903.226 u1: ... st: NotStopd t0: [13:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1944.44 u1: ... st: NotStopd t0: [13:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.5424 u1: ml st: NotStopd t0: [13:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [13:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd
t0: [13:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/08/2015] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd
t0: [13:00:00 01/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 01/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 01/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 01/08/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [14:00:00 01/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.93023 u1: ... st: NotStopd t0: [14:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 01/08/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [14:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 01/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: discontinued st: NotStopd t0: [14:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [14:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [14:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [14:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.2828 u1: kg x m st: NotStopd t0: [14:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.39535 u1: ... st: NotStopd t0: [14:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.268 u1: g * m st: NotStopd t0: [14:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.3721 u1: g*m/m2 st: NotStopd t0: [14:00:00 01/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 01/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [14:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [14:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [14:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [14:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [14:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [14:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [14:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [14:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [14:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.34152 u1: kg * m st: NotStopd t0: [14:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.55349 u1: ... st: NotStopd t0: [14:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 28.1112 u1: g * m st: NotStopd t0: [14:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 13.0698 u1: g*m/m2 st: NotStopd t0: [14:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.6512 u1: ... st: NotStopd t0: [14:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 901.587 u1: ... st: NotStopd t0: [14:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1938.57 u1: ... st: NotStopd t0: [14:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.3898 u1: ml st: NotStopd t0: [14:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [14:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd t0: [14:00:00 01/08/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [14:00:00 01/08/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [14:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 20 vu: ml t0: [14:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [14:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 21.6595 vu: ml
t0: [14:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [14:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd
t0: [14:40:00 01/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [14:40:00 01/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [14:40:00 01/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [14:40:00 01/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [14:40:00 01/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [14:40:00 01/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [14:40:00 01/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.3 u1: % rs: Final st: NotStopd
t0: [15:00:00 01/08/2015] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 01/08/2015] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 01/08/2015] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 01/08/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [15:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [15:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml
t0: [14:40:00 01/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1 rs: Final st: NotStopd t0: [14:40:00 01/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [15:00:00 01/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 01/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [15:00:00 01/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [15:00:00 01/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 01/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Left IJ st: NotStopd t0: [15:00:00 01/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [15:00:00 01/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 01/08/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [15:00:00 01/08/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [15:00:00 01/08/2015] id: IV #3 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd
t0: [15:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.93023 u1: ... st: NotStopd t0: [15:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 120 u1: BPM st: NotStopd t0: [15:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.88256 u1: kg x m st: NotStopd t0: [15:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.67442 u1: ... st: NotStopd t0: [15:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.3136 u1: g * m st: NotStopd t0: [15:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.6977 u1: g*m/m2 st: NotStopd t0: [15:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [15:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [15:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [15:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [15:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.25584 u1: kg * m st: NotStopd t0: [15:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.51628 u1: ... st: NotStopd t0: [15:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 27.3904 u1: g * m st: NotStopd t0: [15:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.7442 u1: g*m/m2 st: NotStopd t0: [15:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.6512 u1: ... st: NotStopd t0: [15:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 952.381 u1: ... st: NotStopd t0: [15:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2047.78 u1: ... st: NotStopd t0: [15:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.5 u1: ml st: NotStopd t0: [15:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [15:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [15:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Levophed-k el: 202 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
t0: [16:00:00 01/08/2015] id: CT #2 Dressing el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: CT #2 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: CT #2 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.11628 u1: ... st: NotStopd t0: [16:00:00 01/08/2015] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [16:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [16:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.2008 u1: kg x m st: NotStopd t0: [16:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.81395 u1: ... st: NotStopd t0: [16:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 69.768 u1: g * m st: NotStopd t0: [16:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5581 u1: g*m/m2 st: NotStopd t0: [16:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [16:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [16:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [16:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.37144 u1: kg * m st: NotStopd t0: [16:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.56744 u1: ... st: NotStopd t0: [16:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 28.6824 u1: g * m st: NotStopd t0: [16:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 13.3488 u1: g*m/m2 st: NotStopd t0: [16:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.5116 u1: ... st: NotStopd t0: [16:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 919.403 u1: ... st: NotStopd t0: [16:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1974.36 u1: ... st: NotStopd t0: [16:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.265 u1: ml st: NotStopd t0: [16:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [16:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [16:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [16:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.7 u1: L/min st: NotStopd t0: [16:00:00 01/08/2015] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/08/2015] id: CT #2 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd
io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ra: 35.3625 ru: ml/hr
t0: [16:00:00 01/08/2015] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [16:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [16:00:00 01/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 01/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [16:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 01/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 01/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 01/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 01/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 01/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 01/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [16:00:00 01/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 01/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 01/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 01/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 01/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 01/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 01/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 01/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [16:00:00 01/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 01/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 01/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 01/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 01/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [16:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [16:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml nb: 1
t0: [16:00:00 01/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 01/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 01/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 01/08/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: None/Remarks st: NotStopd t0: [16:00:00 01/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 01/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 01/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 01/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [17:00:00 01/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 0 st: D/C'd
t0: [17:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [17:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [17:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [17:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 23.7209 u1: ... st: NotStopd t0: [17:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.8621 u1: ml st: NotStopd t0: [17:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [17:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [17:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [17:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [17:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [17:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [17:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 35.3625 vu: ml
t0: [17:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [17:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 8.8264 u1: kg x m st: NotStopd t0: [17:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.09302 u1: ... st: NotStopd t0: [17:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 76.296 u1: g * m st: NotStopd t0: [17:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.3488 u1: g*m/m2 st: NotStopd t0: [17:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [17:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [17:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [17:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 3.37008 u1: kg * m st: NotStopd t0: [17:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.56744 u1: ... st: NotStopd t0: [17:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 29.1312 u1: g * m st: NotStopd t0: [17:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 13.5349 u1: g*m/m2 st: NotStopd t0: [17:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 1301.69 u1: ... st: NotStopd t0: [17:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 2802.92 u1: ... st: NotStopd
t0: [18:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.93023 u1: ... st: NotStopd t0: [18:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 121 u1: BPM st: NotStopd t0: [18:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 7.19712 u1: kg x m st: NotStopd t0: [18:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.34884 u1: ... st: NotStopd t0: [18:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.4048 u1: g * m st: NotStopd t0: [18:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: g*m/m2 st: NotStopd t0: [18:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [18:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [18:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [18:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.91312 u1: kg * m st: NotStopd t0: [18:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.35349 u1: ... st: NotStopd t0: [18:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.0448 u1: g * m st: NotStopd t0: [18:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.1628 u1: g*m/m2 st: NotStopd t0: [18:00:00 01/08/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [18:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.186 u1: ... st: NotStopd t0: [18:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 914.286 u1: ... st: NotStopd t0: [18:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1965.87 u1: ... st: NotStopd t0: [18:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.0661 u1: ml st: NotStopd t0: [18:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [18:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [18:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [18:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd
t0: [18:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [18:00:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [18:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 14.145 vu: ml
t0: [18:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:01:00 01/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 0 st: D/C'd
t0: [20:00:00 01/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 01/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 01/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 01/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 01/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [20:00:00 01/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [20:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd
t0: [20:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 20 vu: ml t0: [20:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 21.2175 vu: ml
tf: [17:00:00 03/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg tf: [09:00:00 05/08/2015] pt: Unit Dose rt: IV fr: TID fs: 08, 16, 22 dn: 3 m1: Furosemide v1: 20 u1: mg
t0: [20:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.83721 u1: ... st: NotStopd t0: [20:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [20:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 6.222 u1: kg x m st: NotStopd t0: [20:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88372 u1: ... st: NotStopd t0: [20:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.04 u1: g * m st: NotStopd t0: [20:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.6512 u1: g*m/m2 st: NotStopd t0: [20:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [20:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [20:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.32288 u1: kg * m st: NotStopd t0: [20:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.07907 u1: ... st: NotStopd t0: [20:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 19.8016 u1: g * m st: NotStopd t0: [20:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 9.2093 u1: g*m/m2 st: NotStopd t0: [20:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.186 u1: ... st: NotStopd t0: [20:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [20:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1718.31 u1: ... st: NotStopd t0: [20:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.6949 u1: ml st: NotStopd t0: [20:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [20:00:00 01/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 01/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 01/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [21:00:00 01/08/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [21:00:00 01/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 01/08/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [21:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [21:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 115 u1: BPM st: NotStopd t0: [21:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 6.7728 u1: kg x m st: NotStopd t0: [21:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.16279 u1: ... st: NotStopd t0: [21:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.6976 u1: g * m st: NotStopd t0: [21:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: g*m/m2 st: NotStopd t0: [21:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [21:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [21:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [21:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.6928 u1: kg * m st: NotStopd t0: [21:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.25116 u1: ... st: NotStopd t0: [21:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 23.3376 u1: g * m st: NotStopd t0: [21:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.8372 u1: g*m/m2 st: NotStopd t0: [21:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 24.186 u1: ... st: NotStopd t0: [21:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 920 u1: ... st: NotStopd t0: [21:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1978.49 u1: ... st: NotStopd t0: [21:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.1739 u1: ml st: NotStopd t0: [21:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [21:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [22:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.65116 u1: ... st: NotStopd t0: [22:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [22:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.27136 u1: kg x m st: NotStopd t0: [22:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.46512 u1: ... st: NotStopd t0: [22:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.9392 u1: g * m st: NotStopd t0: [22:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.2558 u1: g*m/m2 st: NotStopd t0: [22:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [22:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [22:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [22:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.24808 u1: kg * m st: NotStopd t0: [22:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.04651 u1: ... st: NotStopd t0: [22:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 21.2976 u1: g * m st: NotStopd t0: [22:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 9.90698 u1: g*m/m2 st: NotStopd t0: [22:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 25.1163 u1: ... st: NotStopd t0: [22:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 785.965 u1: ... st: NotStopd t0: [22:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1690.57 u1: ... st: NotStopd t0: [22:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.2857 u1: ml st: NotStopd t0: [22:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [22:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [21:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [21:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml t0: [22:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [22:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml
t0: [20:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 02/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: RSBI (<100) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Neg Insp Force(>-25) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: RSBI (<200) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Auto-PEEP Level el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Vital Cap (>1.0)L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 02/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [23:00:00 01/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 01/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 01/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69767 u1: ... st: NotStopd t0: [23:00:00 01/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [23:00:00 01/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 01/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [23:00:00 01/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.44272 u1: kg x m st: NotStopd t0: [23:00:00 01/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.51163 u1: ... st: NotStopd t0: [23:00:00 01/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.1192 u1: g * m st: NotStopd t0: [23:00:00 01/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: g*m/m2 st: NotStopd t0: [23:00:00 01/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [23:00:00 01/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [23:00:00 01/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 01/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 01/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [23:00:00 01/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.28752 u1: kg * m st: NotStopd t0: [23:00:00 01/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.06512 u1: ... st: NotStopd t0: [23:00:00 01/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.8472 u1: g * m st: NotStopd t0: [23:00:00 01/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.5349 u1: g*m/m2 st: NotStopd t0: [23:00:00 01/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 01/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 29.3023 u1: ... st: NotStopd t0: [23:00:00 01/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 813.793 u1: ... st: NotStopd t0: [23:00:00 01/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1748.15 u1: ... st: NotStopd t0: [23:00:00 01/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 01/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.0435 u1: ml st: NotStopd t0: [23:00:00 01/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [23:00:00 01/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 01/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [23:00:00 01/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 01/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 01/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 01/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 01/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 01/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 01/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 01/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 01/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 01/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 01/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 01/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 01/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 01/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 01/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 01/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 01/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 01/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 01/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 01/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 01/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 01/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 01/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 01/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 01/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 01/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 01/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 01/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 01/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 01/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 01/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 01/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [20:00:00 01/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 01/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 01/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 01/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 01/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 01/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 01/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 01/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 01/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 01/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 01/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 01/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 01/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 01/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [21:00:00 01/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 120 rs: Manual st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [00:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 02/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.45632 u1: kg x m st: NotStopd t0: [00:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.55814 u1: ... st: NotStopd t0: [00:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.4128 u1: g * m st: NotStopd t0: [00:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.0465 u1: g*m/m2 st: NotStopd t0: [00:00:00 02/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 02/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [00:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [00:00:00 02/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Intermittent st: NotStopd t0: [00:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [00:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.32696 u1: kg * m st: NotStopd t0: [00:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.08372 u1: ... st: NotStopd t0: [00:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.0584 u1: g * m st: NotStopd t0: [00:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.2093 u1: g*m/m2 st: NotStopd t0: [00:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 28.3721 u1: ... st: NotStopd t0: [00:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [00:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1722.63 u1: ... st: NotStopd t0: [00:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.8247 u1: ml st: NotStopd t0: [00:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [00:00:00 02/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 02/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 3.27778 u1: Deg. C st: NotStopd t0: [00:00:00 02/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. F st: NotStopd t0: [00:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd
t0: [23:00:00 01/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [23:00:00 01/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml t0: [00:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [00:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml
t0: [00:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [00:00:00 02/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 02/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 02/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 02/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 02/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 02/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Left IJ st: NotStopd t0: [00:00:00 02/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 02/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 02/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 02/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 02/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 02/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 02/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 02/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 02/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 02/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [00:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 02/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 02/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 02/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 02/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 02/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 02/08/2015] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 0-None st: NotStopd t0: [01:00:00 02/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [01:00:00 02/08/2015] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69767 u1: ... st: NotStopd t0: [01:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.36384 u1: kg x m st: NotStopd t0: [01:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.51163 u1: ... st: NotStopd t0: [01:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.5632 u1: g * m st: NotStopd t0: [01:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.5814 u1: g*m/m2 st: NotStopd t0: [01:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [01:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [01:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.68192 u1: kg * m st: NotStopd t0: [01:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.24651 u1: ... st: NotStopd t0: [01:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 27.2816 u1: g * m st: NotStopd t0: [01:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.6977 u1: g*m/m2 st: NotStopd t0: [01:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: ... st: NotStopd t0: [01:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 772.414 u1: ... st: NotStopd t0: [01:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1659.26 u1: ... st: NotStopd t0: [01:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.5859 u1: ml st: NotStopd t0: [01:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [01:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [01:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml
t0: [01:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/08/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: 3161 pv: 120 cv: 120 ap: none t0: [23:00:00 02/08/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 50.974 cv: 50.974 ap: none t0: [23:00:00 02/08/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 170.974 cv: 1677.04 ap: none t0: [23:00:00 02/08/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 170.974 cv: 2217.04 ap: none t0: [23:00:00 02/08/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: 3161 pv: 120 cv: 2130 ap: none t0: [23:00:00 02/08/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 50.974 cv: 87.0395 ap: none t0: [23:00:00 02/08/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: 3161 pv: 120 cv: 2130 ap: none t0: [23:00:00 02/08/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 50.974 cv: 2132.65 ap: none
t0: [02:47:00 02/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:27:00 02/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.4 u1: % rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 175 rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.54 u1: /mic l rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.6725 u1: ml/dl st: NotStopd
t0: [02:27:00 02/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [02:27:00 02/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [02:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [02:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [02:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [02:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.752 u1: g * m st: NotStopd t0: [02:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: g*m/m2 st: NotStopd t0: [02:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [02:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [02:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [02:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.6112 u1: kg * m st: NotStopd t0: [02:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.21395 u1: ... st: NotStopd t0: [02:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 26.112 u1: g * m st: NotStopd t0: [02:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.1395 u1: g*m/m2 st: NotStopd t0: [02:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.907 u1: ... st: NotStopd t0: [02:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 813.333 u1: ... st: NotStopd t0: [02:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1749.1 u1: ... st: NotStopd t0: [02:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60 u1: ml st: NotStopd t0: [02:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [02:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [02:27:00 02/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Final st: NotStopd t0: [02:47:00 02/08/2015] id: DO2 el: 0 cu: CSRU cg: RN v1: 840 u1: ml/min st: NotStopd t0: [02:47:00 02/08/2015] id: DO2I el: 0 cu: CSRU cg: RN v1: 390.6 u1: ml/m/m st: NotStopd t0: [02:47:00 02/08/2015] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 840 u1: ml/min st: NotStopd t0: [02:47:00 02/08/2015] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 390.698 u1: ml/m/m st: NotStopd t0: [02:47:00 02/08/2015] id: O2AV el: 0 cu: CSRU cg: RN v1: 840 u1: ml/min st: NotStopd t0: [02:47:00 02/08/2015] id: O2AVI el: 0 cu: CSRU cg: RN v1: 390.698 u1: ml/m/m st: NotStopd t0: [02:47:00 02/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 240 rs: Final st: NotStopd t0: [03:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [03:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [03:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [03:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [03:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [03:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.7728 u1: g * m st: NotStopd t0: [03:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.9767 u1: g*m/m2 st: NotStopd t0: [03:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [03:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [03:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [03:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.10233 u1: ... st: NotStopd t0: [03:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 23.2696 u1: g * m st: NotStopd t0: [03:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.8372 u1: g*m/m2 st: NotStopd t0: [03:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 27.4419 u1: ... st: NotStopd t0: [03:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 840 u1: ... st: NotStopd t0: [03:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1806.45 u1: ... st: NotStopd t0: [03:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.8235 u1: ml st: NotStopd t0: [03:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [03:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [02:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml t0: [03:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [03:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml nb: 1 t0: [03:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml
t0: [02:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/08/2015] tf: [09:00:00 02/08/2015] dt: 360 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [04:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [04:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [04:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.6168 u1: kg x m st: NotStopd t0: [04:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.60465 u1: ... st: NotStopd t0: [04:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.264 u1: g * m st: NotStopd t0: [04:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.1163 u1: g*m/m2 st: NotStopd t0: [04:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [04:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [04:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.16648 u1: kg * m st: NotStopd t0: [04:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.0093 u1: ... st: NotStopd t0: [04:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 20.9304 u1: g * m st: NotStopd t0: [04:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 9.72093 u1: g*m/m2 st: NotStopd t0: [04:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.5116 u1: ... st: NotStopd t0: [04:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 786.441 u1: ... st: NotStopd t0: [04:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1693.43 u1: ... st: NotStopd t0: [04:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.2816 u1: ml st: NotStopd t0: [04:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [04:00:00 02/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 02/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [04:00:00 02/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [04:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 180 rs: Manual st: NotStopd t0: [04:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [05:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7907 u1: ... st: NotStopd t0: [05:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [05:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [05:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.74419 u1: ... st: NotStopd t0: [05:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.7936 u1: g * m st: NotStopd t0: [05:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.5116 u1: g*m/m2 st: NotStopd t0: [05:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [05:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [05:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [05:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.5296 u1: kg * m st: NotStopd t0: [05:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.17674 u1: ... st: NotStopd t0: [05:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 24.4528 u1: g * m st: NotStopd t0: [05:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 11.3953 u1: g*m/m2 st: NotStopd t0: [05:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.9767 u1: ... st: NotStopd t0: [05:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 813.333 u1: ... st: NotStopd t0: [05:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1749.1 u1: ... st: NotStopd t0: [05:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.2524 u1: ml st: NotStopd t0: [05:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [05:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 02/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Manual st: NotStopd t0: [05:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd
t0: [04:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69767 u1: ... st: NotStopd t0: [06:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [06:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.75824 u1: kg x m st: NotStopd t0: [06:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.69767 u1: ... st: NotStopd t0: [06:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.5968 u1: g * m st: NotStopd t0: [06:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.0465 u1: g*m/m2 st: NotStopd t0: [06:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [06:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [06:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [06:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 2.3664 u1: kg * m st: NotStopd t0: [06:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.10233 u1: ... st: NotStopd t0: [06:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 22.848 u1: g * m st: NotStopd t0: [06:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.6047 u1: g*m/m2 st: NotStopd t0: [06:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 26.0465 u1: ... st: NotStopd t0: [06:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 868.966 u1: ... st: NotStopd t0: [06:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1866.67 u1: ... st: NotStopd t0: [06:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.7692 u1: ml st: NotStopd t0: [06:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [06:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [04:00:00 02/08/2015] tf: [11:00:00 02/08/2015] dt: 420 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [04:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml t0: [05:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [05:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml t0: [05:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml t0: [06:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [06:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7 vu: ml t0: [06:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 10.6088 vu: ml
t0: [06:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 02/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [05:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [07:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [07:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6 vu: ml
t0: [07:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.65116 u1: ... st: NotStopd t0: [07:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [07:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [07:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 02/08/2015] id: LCW el: 0 cu: CSRU cg: RN v1: 5.50392 u1: kg x m st: NotStopd t0: [07:00:00 02/08/2015] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.55814 u1: ... st: NotStopd t0: [07:00:00 02/08/2015] id: LVSW el: 0 cu: CSRU cg: RN v1: 47.3144 u1: g * m st: NotStopd t0: [07:00:00 02/08/2015] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.8605 u1: g*m/m2 st: NotStopd t0: [07:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg u2: mmHg st: NotStopd t0: [07:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 113.8 u1: kg st: NotStopd t0: [07:00:00 02/08/2015] id: RCW el: 0 cu: CSRU cg: RN v1: 0.54264 u1: kg * m st: NotStopd t0: [07:00:00 02/08/2015] id: RCWI el: 0 cu: CSRU cg: RN v1: 0.251163 u1: ... st: NotStopd t0: [07:00:00 02/08/2015] id: RVSW el: 0 cu: CSRU cg: RN v1: 4.6648 u1: g * m st: NotStopd t0: [07:00:00 02/08/2015] id: RVSWI el: 0 cu: CSRU cg: RN v1: 2.18605 u1: g*m/m2 st: NotStopd t0: [07:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [07:00:00 02/08/2015] id: SVI el: 0 cu: CSRU cg: RN v1: 22.7907 u1: ... st: NotStopd t0: [07:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: RN v1: 870.175 u1: ... st: NotStopd t0: [07:00:00 02/08/2015] id: SVRI el: 0 cu: CSRU cg: RN v1: 1871.7 u1: ... st: NotStopd t0: [07:00:00 02/08/2015] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.7179 u1: ml st: NotStopd t0: [07:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [07:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd
t0: [07:00:00 02/08/2015] tf: [22:00:00 02/08/2015] dt: 900 id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 02/08/2015] id: Cardiac Index el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 02/08/2015] id: PCWP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 02/08/2015] id: SVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 02/08/2015] id: C.O. (fick) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 02/08/2015] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human 70/30 v1: 20 u1: UNIT
t0: [08:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 02/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [08:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [08:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [08:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [08:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 02/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 02/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 02/08/2015] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [08:00:00 02/08/2015] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 02/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 02/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 02/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 02/08/2015] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 80 u1: % st: NotStopd t0: [08:00:00 02/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [08:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6 vu: ml
t0: [08:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 6 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 02/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 02/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [08:00:00 02/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 02/08/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [08:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [08:00:00 02/08/2015] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.53247 u1: m2 st: NotStopd t0: [08:00:00 02/08/2015] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.78074 u1: m2 st: NotStopd t0: [08:00:00 02/08/2015] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 02/08/2015] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd
t0: [08:00:00 02/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 107 rs: Manual st: NotStopd
t0: [09:00:00 02/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [09:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [09:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [09:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [09:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [09:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [09:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [09:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 02/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [09:00:00 02/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [09:00:00 02/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [09:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [09:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [09:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [09:00:00 02/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 02/08/2015] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [09:00:00 02/08/2015] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [09:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 02/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Withdrawn st: NotStopd
t0: [09:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
tf: [08:00:00 03/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Clopidogrel Bisulfate v1: 300 u1: mg
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [08:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 02/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [10:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [10:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [10:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 02/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 20 vu: ml t0: [10:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6 vu: ml
t0: [10:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/08/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 540 ap: none
t0: [11:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 02/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 02/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 02/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 02/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 02/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [11:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [11:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 02/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [11:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [11:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 0 vu: ml
t0: [11:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [12:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [12:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [12:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 5 u1: BPM st: NotStopd t0: [12:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 02/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [12:00:00 02/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [12:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 02/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml st: Stopped t0: [12:00:00 02/08/2015] tf: [00:00:00 03/08/2015] dt: 720 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [12:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 14.145 vu: ml
t0: [12:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:52:00 02/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [11:52:00 02/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: no data rs: Final st: NotStopd t0: [11:52:00 02/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [11:52:00 02/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [11:52:00 02/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [11:52:00 02/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.03 rs: Final st: NotStopd
t0: [11:52:00 02/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 214 rs: Final st: NotStopd t0: [11:52:00 02/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd t0: [12:00:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [12:00:00 02/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [12:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [12:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 02/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 02/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 02/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 02/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 02/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [12:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None v2: Intact st: NotStopd t0: [12:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [12:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 02/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 02/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 02/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 02/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 02/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 02/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [13:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [13:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [13:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [13:00:00 03/08/2015] pt: Unit Dose rt: PO fr: PRN m1: Potassium Chloride v1: 40 u1: mEq tf: [17:00:00 06/08/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml
t0: [14:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [14:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [14:00:00 02/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 02/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [14:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 190 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [14:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg st: NotStopd t0: [14:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [14:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Defibrillation st: NotStopd t0: [14:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [14:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 35.3625 vu: ml
t0: [14:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [14:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 02/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 02/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [14:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [14:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [14:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [14:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [14:00:00 02/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 02/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [14:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [14:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [14:00:00 02/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [14:00:00 02/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [14:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [14:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [14:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 02/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd
t0: [14:20:00 02/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [14:20:00 02/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [14:20:00 02/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 237 rs: Final st: NotStopd
t0: [14:30:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [14:30:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [14:30:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:30:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 02/08/2015] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [14:30:00 02/08/2015] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [14:30:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [14:30:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:30:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [14:30:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:30:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Defibrillation st: NotStopd
t0: [14:17:00 02/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.8 u1: % rs: Final st: NotStopd
t0: [14:45:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:45:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:45:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:45:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [14:45:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [14:45:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:45:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [14:45:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:45:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [14:45:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:45:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Defibrillation st: NotStopd t0: [14:45:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:45:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:45:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:17:00 02/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [15:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [15:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [15:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 17.6813 vu: ml nb: 1
t0: [15:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [21:00:00 02/08/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [10:00:00 03/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [10:00:00 03/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [10:00:00 03/08/2015] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 15 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [15:30:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [15:30:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:30:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:30:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [15:30:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [15:30:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:30:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Defibrillation st: NotStopd t0: [15:30:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Amiodarone el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip id: Propofol el: 200 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ra: 25 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 2 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [16:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [16:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [16:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [16:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Intubated st: NotStopd t0: [16:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 02/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 02/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 02/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [16:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/08/2015] tf: [10:55:00 06/08/2015] dt: 5455 id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:40:00 02/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.5901 u1: ml/dl st: NotStopd t0: [16:40:00 02/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 428 u1: mmHg rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.5 rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd t0: [16:40:00 02/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd
t0: [16:30:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [16:30:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [16:30:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:30:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:30:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:30:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [16:30:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 2 u1: BPM st: NotStopd t0: [16:30:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 02/08/2015] tf: [10:55:00 06/08/2015] dt: 5425 id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Runs Vtach st: NotStopd t0: [17:00:00 02/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [17:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [17:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [17:00:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Defibrillation st: NotStopd t0: [17:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml t0: [17:00:00 02/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 0 vu: ml t0: [17:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 35.3625 vu: ml
t0: [17:00:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 02/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 02/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 02/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [16:00:00 02/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [16:00:00 02/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [16:00:00 02/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: SC fr: DINNER fs: 17 dn: 1 m1: Insulin Human 70/30 v1: 15 u1: UNIT
t0: [16:40:00 02/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 315 rs: Final st: NotStopd
t0: [16:50:00 02/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd
t0: [16:00:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [16:00:00 02/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker v2: H2 Blocker st: NotStopd t0: [16:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [16:00:00 02/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 02/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 02/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [16:00:00 02/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 02/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [16:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 02/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [16:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Pale st: NotStopd t0: [16:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 02/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 02/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Absent st: NotStopd t0: [16:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [16:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [16:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 02/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 02/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 02/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [17:30:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 02/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Cardiac Cath st: NotStopd
t0: [17:30:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:30:00 02/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [15:30:00 02/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [15:30:00 02/08/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [15:30:00 02/08/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:30:00 02/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:30:00 02/08/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 20 st: NotStopd t0: [15:30:00 02/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [15:30:00 02/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [15:30:00 02/08/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [15:30:00 02/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [15:30:00 02/08/2015] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:30:00 02/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:30:00 02/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:30:00 02/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [15:30:00 02/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [15:30:00 02/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [15:30:00 02/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 15.1515 u1: ml/cmH st: NotStopd t0: [15:30:00 02/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:30:00 02/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT u1: BPM st: NotStopd t0: [15:30:00 02/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:30:00 02/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd
t0: [04:00:00 02/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 02/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 02/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 02/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 02/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [04:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 02/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [04:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 02/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 02/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 02/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 02/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [04:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [04:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [04:00:00 02/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 02/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 02/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [19:28:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd
io: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 100 ru: ml/hr
tf: [16:00:00 03/08/2015] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml
id: .45% Normal Saline el: 1 cu: CSRU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [21:00:00 02/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 16.3934 u1: ml/cmH st: NotStopd t0: [21:00:00 02/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [21:00:00 02/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 02/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 02/08/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.9 st: NotStopd t0: [21:00:00 02/08/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [21:00:00 02/08/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 02/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 02/08/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 20 st: NotStopd t0: [21:00:00 02/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [21:00:00 02/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12.1 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.38 u1: L/min st: NotStopd t0: [21:00:00 02/08/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [21:00:00 02/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35.5 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27.7 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 02/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 02/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 02/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 02/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 02/08/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [21:00:00 02/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 02/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV st: NotStopd t0: [21:00:00 02/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 02/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:15:00 02/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:15:00 02/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:15:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:15:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 02/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [21:15:00 02/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [21:15:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:15:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:15:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [21:15:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [21:15:00 02/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [21:15:00 02/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:15:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:15:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [21:15:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:15:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [21:15:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:15:00 02/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [21:15:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:15:00 02/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:15:00 02/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [21:15:00 02/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [21:15:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 02/08/2015] id: ACT (102-142) Coags el: 0 cu: CSRU cg: RN v1: 161 rs: Manual st: NotStopd
t0: [21:15:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 02/08/2015] tf: [12:00:00 03/08/2015] dt: 900 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 56.58 vu: ml t0: [21:00:00 02/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [21:00:00 02/08/2015] tf: [16:01:00 03/08/2015] dt: 1141 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 100 vu: ml t0: [21:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 70.725 vu: ml
t0: [21:30:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:30:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:30:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:30:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [21:30:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:30:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:45:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:45:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:45:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:45:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:45:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [21:45:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:45:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [21:45:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [21:45:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:45:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [21:45:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:45:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:45:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:45:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:45:00 02/08/2015] id: Levophed-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:45:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [22:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [22:00:00 02/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd t0: [22:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 02/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Sheath D/C st: NotStopd
t0: [22:00:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [22:00:00 03/08/2015] pt: IV Piggyback rt: PB fr: ONCE fs: 23 dn: 1 m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml
t0: [22:00:00 02/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.2668 vu: ml t0: [22:00:00 02/08/2015] tf: [20:00:00 03/08/2015] dt: 1320 id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [22:00:00 02/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vo: 17.6813 vu: ml t0: [23:00:00 02/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [23:00:00 02/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [23:00:00 02/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml
t0: [23:23:00 02/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [23:23:00 02/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [23:23:00 02/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [23:23:00 02/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [23:23:00 02/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 185 u1: mmHg rs: Final st: NotStopd t0: [23:23:00 02/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [23:23:00 02/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd
id: Neosynephrine-k el: 200 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
t0: [00:00:00 03/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: -1 ai: 823 vo: 0 st: D/C'd
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: Cath Lab Intake el: 1 cu: CSRU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push
t0: [22:00:00 02/08/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [22:00:00 02/08/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 03/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 17.4216 u1: ml/cmH st: NotStopd t0: [00:00:00 03/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 03/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 03/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 03/08/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.4 st: NotStopd t0: [00:00:00 03/08/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [00:00:00 03/08/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 03/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 03/08/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 20 st: NotStopd t0: [00:00:00 03/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 03/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12.8 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.36 u1: L/min st: NotStopd t0: [00:00:00 03/08/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 03/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 33.7 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 03/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 03/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 03/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 03/08/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [00:00:00 03/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 03/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV st: NotStopd t0: [00:00:00 03/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 03/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [23:34:00 02/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.8 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.7 u1: % rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 227 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.8 rs: Final st: NotStopd
t0: [23:00:00 02/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 02/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 02/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 02/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [23:00:00 02/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [23:00:00 02/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [23:00:00 02/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 02/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 02/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 02/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 240 rs: Manual st: NotStopd t0: [00:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [00:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 214 rs: Manual st: NotStopd
t0: [23:00:00 02/08/2015] tf: [09:00:00 03/08/2015] dt: 600 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml nb: 1 t0: [23:00:00 02/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [23:00:00 02/08/2015] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 2 cu: CSRU cg: RN ai: 823 vu: ml t0: [00:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [00:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [00:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [00:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5 vu: ml
t0: [22:00:00 02/08/2015] tf: [10:55:00 06/08/2015] dt: 5095 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [22:00:00 02/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/08/2015] tf: [05:00:00 03/08/2015] dt: 420 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [23:00:00 02/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 02/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 02/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 7 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:34:00 02/08/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 230 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.7 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.6 u1: mEq/L rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd t0: [23:34:00 02/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [01:00:00 03/08/2015] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 03/08/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 03/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 03/08/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 03/08/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [01:00:00 03/08/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
id: Gastric Meds el: 2 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [21:00:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [21:00:00 02/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [21:00:00 02/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [21:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 02/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [21:00:00 02/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 02/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [21:00:00 02/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [21:00:00 02/08/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Femoral st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Left IJ st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [21:00:00 02/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [21:00:00 02/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [21:00:00 02/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 02/08/2015] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 02/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 02/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [21:00:00 02/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [21:00:00 02/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [21:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:00:00 02/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 02/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 02/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Pain st: NotStopd t0: [21:00:00 02/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [21:00:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [21:00:00 02/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 02/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [21:00:00 02/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [21:00:00 02/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [21:00:00 02/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [21:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 02/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 02/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [21:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:00:00 02/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 02/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [21:00:00 02/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 02/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 02/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [21:00:00 02/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [21:00:00 02/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [21:00:00 02/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [21:00:00 02/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [21:00:00 02/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 02/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 02/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 02/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 02/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [21:00:00 02/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 02/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 02/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 02/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [21:00:00 02/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [21:00:00 02/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 10 u1: number st: NotStopd t0: [21:00:00 02/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 02/08/2015] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [22:00:00 02/08/2015] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 02/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 260 rs: Manual st: NotStopd t0: [23:00:00 02/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:00:00 02/08/2015] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:00:00 02/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 02/08/2015] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 02/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 03/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 03/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 03/08/2015] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 03/08/2015] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 03/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd
t0: [21:00:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [21:15:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [21:15:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:15:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:15:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [21:15:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [21:15:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [21:15:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:15:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:30:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [21:30:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:30:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:30:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [21:30:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [21:30:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [21:30:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:30:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:45:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [21:45:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:45:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:45:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [21:45:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [21:45:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [21:45:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [21:45:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [22:00:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [22:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [22:00:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [22:00:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [22:00:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [22:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [22:30:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN st: NotStopd t0: [22:30:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [23:00:00 02/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [23:00:00 02/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:00:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [23:00:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [23:00:00 02/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:15:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:15:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [23:15:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:15:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [23:15:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:30:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:30:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [23:30:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [23:30:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:45:00 02/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [23:45:00 02/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [23:45:00 02/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:45:00 02/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [23:45:00 02/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [00:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 03/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [01:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd
t0: [01:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [01:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [01:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [01:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7 vu: ml
t0: [01:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:00:00 03/08/2015] id: Ectopy Frequency 2 el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 03/08/2015] id: Ectopy Type 2 el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [01:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [01:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [01:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 03/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 03/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 03/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 03/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 03/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 03/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 03/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 03/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [00:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [00:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [00:00:00 03/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 03/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [22:00:00 02/08/2015] tf: [01:00:00 06/08/2015] dt: 4500 id: Gastric Meds PO/Gastric el: 2 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml
t0: [21:00:00 02/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [21:00:00 02/08/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 02/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 02/08/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 02/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/08/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 02/08/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 02/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 03/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 03/08/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 03/08/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/08/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 03/08/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 03/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 183 rs: Manual st: NotStopd
t0: [01:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 9 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:34:00 02/08/2015] id: CPK/MB Enzymes el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd
tf: [22:00:00 03/08/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [09:00:00 05/08/2015] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml
t0: [00:00:00 03/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 03/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:00:00 03/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [02:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [02:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 158 rs: Manual st: NotStopd
t0: [23:00:00 02/08/2015] tf: [15:00:00 05/08/2015] dt: 3840 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vu: ml nb: 1 t0: [23:00:00 02/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 26 vu: ml t0: [00:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [01:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [02:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [02:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [02:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9 vu: ml t0: [02:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [02:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 02/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
tf: [22:00:00 03/08/2015] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg
t0: [03:23:00 03/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.9009 u1: ml/dl st: NotStopd t0: [03:23:00 03/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 162 u1: mmHg rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [03:23:00 03/08/2015] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [03:24:00 03/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 17.9 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.6 u1: % rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 261 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 17.9 rs: Final st: NotStopd
t0: [21:00:00 02/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [21:00:00 02/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 02/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [21:00:00 02/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [22:00:00 02/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:00:00 02/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 03/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 03/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 03/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [00:00:00 03/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 03/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 03/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 03/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [01:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [01:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [01:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 03/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 03/08/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [02:00:00 03/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [02:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [02:00:00 03/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 03/08/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [02:00:00 03/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 03/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/08/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 03/08/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 03/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 03/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [02:00:00 03/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 03/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 03/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [03:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [03:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [03:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [03:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [03:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [03:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:23:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [03:23:00 03/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [03:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [03:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [03:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 11 vu: ml t0: [03:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [03:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [04:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [04:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [04:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 11 vu: ml
t0: [03:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 03/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 20 u1: ml/cmH st: NotStopd t0: [04:00:00 03/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 03/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 03/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 03/08/2015] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.4 st: NotStopd t0: [04:00:00 03/08/2015] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:00:00 03/08/2015] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 03/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 03/08/2015] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 20 st: NotStopd t0: [04:00:00 03/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 03/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12.4 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.53 u1: L/min st: NotStopd t0: [04:00:00 03/08/2015] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 03/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27.8 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 03/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 03/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 03/08/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [04:00:00 03/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 03/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV st: NotStopd t0: [04:00:00 03/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 03/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [03:24:00 03/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 u1: mEq/L rs: Final st: NotStopd t0: [03:24:00 03/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd
t0: [04:00:00 03/08/2015] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd
t0: [03:24:00 03/08/2015] id: CPK/MB Enzymes el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [04:00:00 03/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Abnormal >3 secs st: NotStopd t0: [04:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 03/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 03/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [04:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 03/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [04:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 03/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 03/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 03/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [04:00:00 03/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [04:00:00 03/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 03/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [04:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 03/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [04:00:00 03/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 03/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [04:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 03/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 03/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 03/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [05:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [05:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [05:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [05:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [05:00:00 03/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [05:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [05:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [05:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [05:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [05:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [05:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [05:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [05:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [05:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [05:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Weak Palpable st: NotStopd t0: [05:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [05:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [05:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 79 rs: Manual st: NotStopd
t0: [05:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [05:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [05:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 11 vu: ml t0: [05:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [04:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: Uhr sv: 100 su: ml rt: IV Drip t0: [05:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
t0: [00:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [03:24:00 03/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.9 rs: Final st: NotStopd
t0: [06:00:00 03/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [06:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [06:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [06:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [06:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 03/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [06:00:00 03/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [06:00:00 03/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 03/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [06:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [06:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [06:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [06:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 17 vu: ml t0: [06:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [06:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [06:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [06:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [06:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [06:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Mottled st: NotStopd
t0: [07:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 97 rs: Manual st: NotStopd
t0: [07:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [07:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [07:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [07:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [07:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [07:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 03/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 19.2308 u1: ml/cmH st: NotStopd t0: [08:00:00 03/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 03/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 03/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.4 st: NotStopd t0: [08:00:00 03/08/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [08:00:00 03/08/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 03/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 03/08/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [08:00:00 03/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [08:00:00 03/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.33 u1: L/min st: NotStopd t0: [08:00:00 03/08/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 03/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 03/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [08:00:00 03/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 03/08/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [08:00:00 03/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 03/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV st: NotStopd t0: [08:00:00 03/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 03/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 03/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 03/08/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 03/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [08:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 03/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/08/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 03/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 03/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 03/08/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: None/Remarks v2: Other/Remarks st: NotStopd t0: [08:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [08:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 03/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/08/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [08:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/08/2015] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [08:00:00 03/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [08:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [08:00:00 03/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 03/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [08:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [08:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [08:00:00 03/08/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 03/08/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [08:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 03/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 03/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [08:00:00 03/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [08:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/08/2015] id: Vent Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [08:00:00 03/08/2015] id: Vent Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 18 st: NotStopd t0: [08:00:00 03/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 18 v2: 1.5 st: NotStopd t0: [08:00:00 03/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 110 rs: Manual st: NotStopd t0: [08:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 03/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 03/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 03/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 03/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 03/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 03/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 16.974 vu: ml t0: [08:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [08:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [08:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [08:00:00 03/08/2015] tf: [09:00:00 06/08/2015] dt: 4380 id: Gastric Oral Gastric el: 2 cu: CSRU cg: RN vo: 150 vu: ml
t0: [08:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 03/08/2015] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 150 ap: none
t0: [09:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [09:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [09:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 11.316 vu: ml t0: [09:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [09:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [09:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [09:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 03/08/2015] tf: [21:00:00 03/08/2015] dt: 720 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 03/08/2015] id: Gastric Meds PO/Gastric el: 2 cu: CSRU cg: RN ai: 155 vo: 90 vu: ml
t0: [23:00:00 03/08/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 390 ap: none
t0: [09:07:00 03/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.3 rs: Final st: NotStopd
tf: [22:00:00 03/08/2015] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [22:00:00 03/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin v1: 325 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Clopidogrel Bisulfate v1: 75 u1: mg
t0: [09:30:00 03/08/2015] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [09:45:00 03/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd t0: [10:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [10:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 11.316 vu: ml t0: [10:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [10:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 03/08/2015] tf: [21:00:00 03/08/2015] dt: 660 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [10:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [10:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
id: Heparin el: 200 cu: CSRU 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: CSRU cg: RN ra: 6 ru: ml/hr
tf: [16:00:00 03/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [10:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 03/08/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: None/Remarks st: NotStopd t0: [11:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [11:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [11:00:00 03/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 11.316 vu: ml t0: [11:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [11:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [11:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [11:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:00:00 03/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [11:00:00 03/08/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 03/08/2015] id: Auto-PEEP Level el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 03/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 03/08/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [11:00:00 03/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd
t0: [11:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml
t0: [11:00:00 03/08/2015] tf: [10:55:00 06/08/2015] dt: 4315 id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:05:00 03/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [12:05:00 03/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [12:05:00 03/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [12:05:00 03/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [12:05:00 03/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 156 u1: mmHg rs: Final st: NotStopd t0: [12:05:00 03/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [12:05:00 03/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd
t0: [12:00:00 03/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:00:00 03/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 03/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 03/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 03/08/2015] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 7.0 mm st: NotStopd t0: [12:00:00 03/08/2015] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 03/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [12:00:00 03/08/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [12:00:00 03/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 3 st: NotStopd t0: [12:00:00 03/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 03/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7.3 u1: cmH2O st: NotStopd t0: [12:00:00 03/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.42 u1: L/min st: NotStopd t0: [12:00:00 03/08/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 03/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 03/08/2015] id: Auto-PEEP Level el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 03/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [12:00:00 03/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 03/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 03/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 03/08/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [12:00:00 03/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 03/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [11:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 114 rs: Manual st: NotStopd t0: [12:00:00 03/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 03/08/2015] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 03/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 03/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [12:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2015] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 03/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [12:00:00 03/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 03/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 03/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 03/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 03/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 03/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 03/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 03/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 03/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [12:00:00 03/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 03/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [12:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 03/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [12:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 03/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [12:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 03/08/2015] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [12:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [12:00:00 03/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 03/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [12:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Mottled st: NotStopd t0: [12:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [12:00:00 03/08/2015] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 03/08/2015] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [12:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 03/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 03/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [12:00:00 03/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [12:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/08/2015] id: Vent Threshold el: 0 cu: CSRU cg: RN v1: mA st: NotStopd t0: [12:00:00 03/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 18 v2: 1.5 st: NotStopd t0: [12:00:00 03/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 03/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 03/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 03/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 03/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 03/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 03/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 03/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 03/08/2015] tf: [16:00:00 04/08/2015] dt: 1680 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [12:00:00 03/08/2015] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml t0: [12:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [12:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2 vu: ml t0: [12:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [12:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/08/2015] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 114 rs: Manual st: NotStopd t0: [10:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [12:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 111 rs: Manual st: NotStopd t0: [12:58:00 03/08/2015] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [12:58:00 03/08/2015] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:58:00 03/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [12:58:00 03/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [12:58:00 03/08/2015] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [12:58:00 03/08/2015] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [13:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [13:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [13:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [13:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [13:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [13:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 18.86 vu: ml
t0: [13:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 03/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 03/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [13:00:00 03/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 12 u1: lpm st: NotStopd
t0: [13:30:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:30:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:30:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:30:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [13:30:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [13:30:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:30:00 03/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN v1: Extubated st: NotStopd t0: [13:30:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:30:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [14:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 03/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Absent v2: Doppler st: NotStopd t0: [14:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [14:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 03/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [14:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [14:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [14:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [14:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [14:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [14:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [14:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [15:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [15:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 4 u1: BPM st: NotStopd t0: [15:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 104 rs: Manual st: NotStopd
t0: [15:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [15:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [15:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [15:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [15:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 03/08/2015] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 03/08/2015] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:01:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [16:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 03/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [16:00:00 03/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 03/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 03/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 03/08/2015] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 03/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 03/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 03/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 3 u1: lpm st: NotStopd t0: [16:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [16:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 03/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [16:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 03/08/2015] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 03/08/2015] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [16:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [16:00:00 03/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [16:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Cyanotic st: NotStopd t0: [16:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [16:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 03/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 03/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 03/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/08/2015] id: Vent Threshold el: 0 cu: CSRU cg: RN v1: mA st: NotStopd t0: [16:00:00 03/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 18 v2: 1.5 st: NotStopd t0: [16:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd t0: [16:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 03/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 03/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 03/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 03/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 03/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 03/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 03/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 6 vu: ml t0: [16:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [16:00:00 03/08/2015] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [16:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [16:00:00 03/08/2015] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:56:00 03/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [15:56:00 03/08/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [15:56:00 03/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 30.8 rs: Final st: NotStopd t0: [16:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 03/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN st: NotStopd t0: [16:00:00 03/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN st: NotStopd
t0: [16:30:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:30:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:30:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:30:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [16:30:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [16:30:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:30:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:30:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:56:00 03/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [15:56:00 03/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.8 rs: Final st: NotStopd
t0: [17:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [17:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [17:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [17:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 11.7875 vu: ml
t0: [23:00:00 03/08/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 39.2175 cv: 3555.17 ap: none t0: [23:00:00 03/08/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 39.2175 cv: 3945.17 ap: none
t0: [17:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [17:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [17:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 03/08/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 03/08/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -360.783 cv: -360.783 ap: none t0: [23:00:00 03/08/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 400 cv: 4300 ap: none t0: [23:00:00 03/08/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -360.783 cv: -504.832 ap: none t0: [23:00:00 03/08/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 400 cv: 4450 ap: none t0: [23:00:00 03/08/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -360.783 cv: 1627.81 ap: none
tf: [18:00:00 03/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [18:00:00 03/08/2015] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 03/08/2015] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 03/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 03/08/2015] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 03/08/2015] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 03/08/2015] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:30:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:30:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:30:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:30:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [17:30:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [17:30:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [17:30:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Clear Liquid st: NotStopd t0: [18:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [18:00:00 03/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 03/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [18:00:00 03/08/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [18:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 03/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 03/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [18:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [18:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [18:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [18:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [18:00:00 03/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [18:00:00 03/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 03/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 03/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [18:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [18:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [18:00:00 03/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [18:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [18:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [18:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [18:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/08/2015] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [18:00:00 03/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [18:00:00 03/08/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [18:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [18:00:00 03/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [18:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cold v2: Cyanotic st: NotStopd t0: [18:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [18:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [18:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 03/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [18:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 03/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [18:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 86 rs: Manual st: NotStopd t0: [18:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [18:00:00 03/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [18:00:00 03/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 03/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [18:00:00 03/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 03/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 03/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [18:00:00 03/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [18:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 9 vu: ml t0: [18:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [18:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [18:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [17:30:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [01:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [19:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [19:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [19:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [19:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml t0: [19:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [19:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [19:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 111 rs: Manual st: NotStopd
t0: [20:00:00 03/08/2015] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: RSBI (<100) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: RSBI Not Completed el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: FiO2 Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: RSBI (<200) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Auto-PEEP Level el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Spon RR (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 03/08/2015] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 03/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 03/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 03/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 03/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 03/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [20:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [20:00:00 03/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 03/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 03/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 03/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 03/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [20:00:00 03/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 03/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [20:00:00 03/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 03/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 03/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 03/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [20:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 03/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thin st: NotStopd t0: [20:00:00 03/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [20:00:00 03/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [20:00:00 03/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [20:00:00 03/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [20:00:00 03/08/2015] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 100 vu: ml st: Stopped t0: [20:00:00 03/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml nb: 1 t0: [20:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml t0: [20:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 14.145 vu: ml
t0: [20:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 03/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 03/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [20:00:00 03/08/2015] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 03/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 03/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 03/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [20:00:00 03/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 03/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 03/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 03/08/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 03/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 03/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 03/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 03/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 03/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 03/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 03/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 03/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 03/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 03/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [20:00:00 03/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [20:00:00 03/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [20:00:00 03/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 03/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 03/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 03/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 03/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 138 rs: Manual st: NotStopd t0: [20:00:00 03/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 03/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [20:00:00 03/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 03/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 03/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [20:00:00 03/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 03/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 03/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [21:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [21:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [21:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [21:00:00 03/08/2015] tf: [08:00:00 05/08/2015] dt: 2100 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [21:00:00 03/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3 vu: ml st: Stopped t0: [21:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 18.86 vu: ml
t0: [21:00:00 03/08/2015] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 du: Uhr sv: 100 su: ml rt: IV Drip st: Stopped
tf: [22:00:00 03/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Amiodarone HCl v1: 400 u1: mg
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Milk of Magnesia v1: 30 u1: ml
t0: [22:00:00 03/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 03/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 03/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 03/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 03/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 03/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 03/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 03/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [22:00:00 03/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 03/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 03/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [22:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 03/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 03/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 03/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 03/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [22:00:00 03/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [22:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 21.2175 vu: ml
t0: [22:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [23:00:00 03/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [23:00:00 03/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 21.2175 vu: ml
t0: [22:00:00 03/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:59:00 03/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 222 rs: Final st: NotStopd t0: [22:59:00 03/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: >150* rs: Final st: NotStopd t0: [22:59:00 03/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [23:00:00 03/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 03/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 03/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 03/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [23:00:00 03/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 03/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 03/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [23:00:00 03/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 03/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 03/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [00:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 04/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 04/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 04/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [00:00:00 04/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 04/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 04/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 04/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 04/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 04/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 04/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 04/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [00:00:00 04/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [00:00:00 04/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [00:00:00 04/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 04/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [00:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [00:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 04/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [00:00:00 04/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [00:00:00 04/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 04/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 04/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 04/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 04/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 04/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [00:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 8 vu: ml t0: [00:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [00:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 21.2175 vu: ml
t0: [23:00:00 03/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 03/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:09:00 04/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: 31.3 rs: Final st: NotStopd
t0: [00:30:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [01:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [01:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [01:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [02:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 9 vu: ml t0: [01:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [01:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 21.2175 vu: ml t0: [02:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 21.2175 vu: ml
t0: [01:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [01:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 04/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [02:00:00 04/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 04/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [02:00:00 04/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [02:00:00 04/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [02:00:00 04/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 04/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [03:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd
t0: [03:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [03:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [03:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [03:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [03:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:16:00 04/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.5 u1: % rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 383 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.43 u1: /mic l rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.2 rs: Final st: NotStopd
t0: [05:16:00 04/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [05:16:00 04/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [04:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 04/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [04:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [04:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 04/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 04/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 04/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 04/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 04/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 04/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 04/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 04/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 04/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [04:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 04/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [04:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 04/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [04:00:00 04/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 04/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [04:00:00 04/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 04/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 04/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 04/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [04:00:00 04/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [04:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [04:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [04:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 04/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [04:00:00 04/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [04:00:00 04/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 04/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 04/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 04/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 18 v2: 1.5 st: NotStopd t0: [04:00:00 04/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [05:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [05:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:16:00 04/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: 33.3 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 04/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [06:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [06:00:00 04/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/08/2015] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [06:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [06:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 04/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 04/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [06:00:00 04/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 04/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [04:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [04:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [04:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [05:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [05:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [05:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [06:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [06:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [06:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [04:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [05:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [07:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [07:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 111.8 u1: kg st: NotStopd t0: [07:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [07:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [07:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [07:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 350 cv: 350 ap: none t0: [23:00:00 04/08/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -294.353 cv: -294.353 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 55.6475 cv: 1321.16 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 55.6475 cv: 2121.16 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 350 cv: 2810 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -294.353 cv: -688.837 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 350 cv: 2810 ap: none t0: [23:00:00 04/08/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -294.353 cv: 938.975 ap: none
t0: [08:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [08:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [08:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 04/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 04/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [08:00:00 04/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [08:00:00 04/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 04/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 04/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 04/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 04/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Pale st: NotStopd t0: [08:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 04/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 04/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [08:00:00 04/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 04/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [08:00:00 04/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 04/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 04/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 04/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [08:00:00 04/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 04/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [08:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [08:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [08:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 04/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 04/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 04/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 04/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 18 v2: 1.5 st: NotStopd t0: [08:00:00 04/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 04/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [09:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [09:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [09:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 04/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/08/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN st: NotStopd t0: [09:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 04/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd t0: [10:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [08:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [08:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [09:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [09:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [09:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [10:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [10:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [10:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [08:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Ambulate st: NotStopd t0: [10:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 04/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd
t0: [11:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [11:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [11:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [11:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [11:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:51:00 04/08/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [11:51:00 04/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd
t0: [12:00:00 04/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 04/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [12:00:00 04/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [12:00:00 04/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [12:00:00 04/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [12:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 264 rs: Manual st: NotStopd
t0: [12:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [12:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [12:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [12:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:52:00 04/08/2015] id: PT el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [11:52:00 04/08/2015] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [11:52:00 04/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [11:52:00 04/08/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd
t0: [12:00:00 04/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [12:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 04/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [12:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [12:00:00 04/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 04/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 04/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 04/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 04/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 04/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 04/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 04/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [12:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Pale st: NotStopd t0: [12:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 04/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 04/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [12:00:00 04/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 04/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [12:00:00 04/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 04/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 04/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 3 u2: V-mA st: NotStopd t0: [12:00:00 04/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 04/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 6 v2: 2 st: NotStopd t0: [12:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [12:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [12:00:00 04/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 04/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 04/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 18 v2: 1.5 st: NotStopd t0: [12:00:00 04/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 04/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [11:52:00 04/08/2015] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 35.6 rs: Final st: NotStopd t0: [11:52:00 04/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 35.6 rs: Final st: NotStopd
t0: [11:52:00 04/08/2015] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [11:52:00 04/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd
t0: [10:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [13:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.6667 u1: mmHg st: NotStopd t0: [13:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [13:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [13:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [13:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 800 ap: none
tf: [17:00:00 06/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [14:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.6667 u1: mmHg st: NotStopd t0: [14:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [14:00:00 04/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 04/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 04/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 04/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 04/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [14:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [14:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [15:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 12 vu: ml t0: [15:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [15:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [14:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1200 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 04/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Abnormal >3 secs v2: Normal <3 secs st: NotStopd t0: [16:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [16:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [16:00:00 04/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [16:00:00 04/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [16:00:00 04/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 04/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 04/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [16:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 04/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 04/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 04/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 04/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [16:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 04/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 04/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 04/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [16:00:00 04/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 04/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd t0: [16:00:00 04/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [16:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [16:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [16:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 04/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [16:00:00 04/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [16:00:00 04/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [16:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 04/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml t0: [16:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [16:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [16:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 04/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [14:00:00 04/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:00:00 04/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [16:00:00 04/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [16:00:00 04/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [17:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 04/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 04/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 04/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 196 rs: Manual st: NotStopd
t0: [17:00:00 04/08/2015] tf: [09:00:00 06/08/2015] dt: 2400 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [17:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [17:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [18:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [18:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [18:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 30.6475 vu: ml
t0: [17:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 04/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [20:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [20:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 04/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 04/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 04/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 04/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 04/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 04/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 04/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 04/08/2015] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 04/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [20:00:00 04/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 04/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Commode st: NotStopd t0: [20:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 04/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 04/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 04/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 04/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 04/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 04/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 04/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 04/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 04/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: Repositioned st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Intermittent st: NotStopd t0: [20:00:00 04/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 04/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 04/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [20:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 04/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [20:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [20:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 04/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 04/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [20:00:00 04/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 04/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 04/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 04/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Walks Occasional st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [20:00:00 04/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 30 vu: ml t0: [20:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 20 vu: ml t0: [20:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 61.295 vu: ml
t0: [20:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 04/08/2015] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl v1: 10 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
t0: [21:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [21:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [21:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 30.6475 vu: ml
t0: [21:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [22:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [23:00:00 04/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 04/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 04/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 04/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 04/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [22:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [22:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 30.6475 vu: ml t0: [23:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [23:00:00 04/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [23:00:00 04/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 30.6475 vu: ml
t0: [23:00:00 04/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -150 cv: 904.31 ap: none
t0: [22:39:00 04/08/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [22:39:00 04/08/2015] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [22:39:00 04/08/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [22:39:00 04/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [22:39:00 04/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [22:39:00 04/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [00:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 05/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [00:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [00:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [00:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [00:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 30.6475 vu: ml t0: [01:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [01:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [01:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml t0: [02:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [02:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [02:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [00:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 1000 ap: none
t0: [22:39:00 04/08/2015] id: PTT Coags el: 0 cu: CSRU cg: RN v1: ` rs: Final st: NotStopd t0: [22:39:00 04/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: RN v1: ` rs: Final st: NotStopd
t0: [04:00:00 05/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 05/08/2015] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [00:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [03:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [03:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 17.6813 vu: ml t0: [04:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [04:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [04:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 17.6813 vu: ml
t0: [02:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [23:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 05/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [00:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 05/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 05/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 05/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 05/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 05/08/2015] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 05/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 05/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 05/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 05/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 05/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 05/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Situational st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Backrub st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [00:00:00 05/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 05/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Mottled st: NotStopd t0: [00:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [00:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [00:00:00 05/08/2015] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 05/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [00:00:00 05/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 05/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [00:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [01:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 05/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [04:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 05/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 05/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [04:00:00 05/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [04:00:00 05/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [04:00:00 05/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [05:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 05/08/2015] id: Capillary Refill R/L el: 0 cu: CSRU cg: RN v1: Normal <3 secs v2: Normal <3 secs st: NotStopd t0: [05:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [05:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [05:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 05/08/2015] id: Femoral Pulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 05/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [05:00:00 05/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [05:00:00 05/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [05:00:00 05/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [05:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [05:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [05:00:00 05/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 05/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [05:00:00 05/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [05:00:00 05/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [05:00:00 05/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [05:00:00 05/08/2015] id: Popliteal Pulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [05:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [05:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [05:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [05:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 05/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 05/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [05:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [05:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [05:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 05/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [05:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [05:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 05/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 05/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 05/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [05:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [05:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [05:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [05:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 11.7875 vu: ml
t0: [05:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:24:00 05/08/2015] id: BUN el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [05:24:00 05/08/2015] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 49.9 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 49.9 rs: Final st: NotStopd
t0: [05:24:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27 u1: % rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 437 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.15 u1: /mic l rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd
t0: [06:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 05/08/2015] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [06:00:00 05/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [07:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [07:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [06:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [06:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 11.7875 vu: ml t0: [07:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [07:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10 vu: ml t0: [07:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 11.7875 vu: ml
t0: [07:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd
t0: [05:24:00 05/08/2015] id: Magnesium Chemistry el: 0 cu: CSRU cg: RN v1: 1.9 rs: Final st: NotStopd t0: [05:24:00 05/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.9 rs: Final st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [08:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 05/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 05/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 05/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [08:00:00 05/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 05/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 05/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [08:00:00 05/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 05/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 05/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 05/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [08:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 05/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 05/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 05/08/2015] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 05/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 05/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 05/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [08:00:00 05/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 05/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 05/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [08:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Flushed st: NotStopd t0: [08:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 05/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [08:00:00 05/08/2015] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [08:00:00 05/08/2015] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [08:00:00 05/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [08:00:00 05/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 05/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [09:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [08:00:00 05/08/2015] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml t0: [08:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 11.7875 vu: ml t0: [09:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [09:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 18.86 vu: ml
t0: [08:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2015] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 05/08/2015] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -150 cv: -150 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 900.335 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 50 cv: 2275.33 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 200 cv: 2310 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -150 cv: -34.6651 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 200 cv: 2310 ap: none
t0: [09:58:00 05/08/2015] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: QAM fs: 10 dn: 1 m1: Amitriptyline HCl v1: 25 u1: mg tf: [17:00:00 06/08/2015] pt: Unit Dose rt: PO fr: QAM fs: 10 dn: 1 m1: Amitriptyline HCl v1: 50 u1: mg
t0: [10:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 05/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [10:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [10:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [10:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [10:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 28.29 vu: ml
t0: [10:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
id: Packed RBC's el: 2 cu: CSRU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [10:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [11:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [11:00:00 05/08/2015] tf: [10:55:00 06/08/2015] dt: 1435 id: Packed RBC's IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 375 vu: ml t0: [11:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 47.15 vu: ml
t0: [11:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2015] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: 3161 cv: 375 ap: none
t0: [11:15:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:15:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:15:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:15:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:15:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [11:15:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:15:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:15:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:15:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [11:15:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [11:15:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/08/2015] id: Gastric Meds PO/Gastric el: 2 cu: CSRU cg: RN ai: 155 vo: 240 vu: ml
t0: [11:15:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 05/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 254 rs: Manual st: NotStopd
t0: [08:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v2: H2 Blocker st: NotStopd t0: [10:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [12:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 05/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [12:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 05/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 05/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 05/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 05/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [12:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [12:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 05/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 05/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 05/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 05/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [12:00:00 05/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 05/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/08/2015] id: Procedures el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 05/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 05/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Flushed st: NotStopd t0: [12:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CSRU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 05/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [12:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [12:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 05/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [12:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [12:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 35.3625 vu: ml
t0: [12:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [13:00:00 05/08/2015] id: Gastric Meds PO/Gastric el: 2 cu: CSRU cg: RN ai: 155 vo: 240 vu: ml t0: [13:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 23.575 vu: ml
t0: [13:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.8333 u1: Deg. C st: NotStopd t0: [13:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.5 u1: Deg. F st: NotStopd
t0: [13:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [13:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [14:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [14:00:00 05/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [14:00:00 05/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [14:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Ambulate st: NotStopd t0: [15:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [15:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [14:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 11.7875 vu: ml t0: [15:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [15:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml
t0: [14:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 05/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [15:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 05/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [15:00:00 05/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 05/08/2015] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [15:00:00 05/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [15:00:00 05/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [15:00:00 05/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [15:00:00 05/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [15:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Pale st: NotStopd t0: [15:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [15:00:00 05/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 05/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 05/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [15:00:00 05/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [15:00:00 05/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [15:00:00 05/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [15:00:00 05/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [15:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 05/08/2015] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 05/08/2015] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [15:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [15:00:00 05/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 05/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [15:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [15:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [15:00:00 05/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [15:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 05/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 05/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 05/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [15:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [15:00:00 05/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Walks Occasional st: NotStopd t0: [15:00:00 05/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [15:00:00 05/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [15:00:00 05/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [15:00:00 05/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [15:00:00 05/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [15:00:00 05/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [16:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml
t0: [16:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [16:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [17:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [17:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [17:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml
t0: [17:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 05/08/2015] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: -1 ai: 154 vo: 0 st: D/C'd
t0: [18:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [18:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml
t0: [18:00:00 05/08/2015] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [18:00:00 05/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [18:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [18:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [19:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [19:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [19:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml
t0: [19:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [20:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 05/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 05/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml
t0: [20:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [20:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 05/08/2015] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 05/08/2015] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 05/08/2015] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/08/2015] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [20:00:00 05/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 05/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 05/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 05/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 05/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 05/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 05/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 05/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [20:00:00 05/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 05/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 05/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 05/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [20:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pink st: NotStopd t0: [20:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Pale st: NotStopd t0: [20:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 05/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [20:00:00 05/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [21:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [21:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [21:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 05/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [21:00:00 05/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [21:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml
t0: [21:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 05/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml
t0: [22:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [06:00:00 05/08/2015] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Amitriptyline HCl v1: 25 u1: mg tf: [06:00:00 05/08/2015] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Amitriptyline HCl v1: 50 u1: mg
t0: [13:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [23:00:00 03/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [00:00:00 04/08/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 111.8 u1: kg st: NotStopd t0: [00:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [02:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [04:00:00 04/08/2015] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 111.8 u1: kg st: NotStopd t0: [04:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [05:00:00 04/08/2015] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd
t0: [23:00:00 05/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 05/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 05/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 05/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [21:00:00 05/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [22:00:00 05/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Dangle st: NotStopd t0: [22:00:00 05/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 05/08/2015] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/08/2015] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 05/08/2015] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/08/2015] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:05:00 05/08/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Final st: NotStopd t0: [22:05:00 05/08/2015] id: Magnesium Chemistry el: 0 cu: CSRU cg: RN v1: 1.8 rs: Final st: NotStopd t0: [22:05:00 05/08/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd t0: [22:05:00 05/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 164 rs: Final st: NotStopd t0: [22:05:00 05/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.8 rs: Final st: NotStopd t0: [22:05:00 05/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd t0: [23:00:00 05/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [23:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 05/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 05/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [23:00:00 05/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [23:00:00 05/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [23:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [23:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [23:00:00 05/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 05/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 05/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 05/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd
t0: [00:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [00:00:00 06/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 06/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/08/2015] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 06/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Pale st: NotStopd t0: [00:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 06/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 06/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 06/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 06/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 06/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 06/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 06/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 06/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 06/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/08/2015] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 30 vu: ml
t0: [00:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 06/08/2015] id: Gastric Meds PO/Gastric el: 2 cu: CSRU cg: -1 ai: 155 vo: 0 st: D/C'd
t0: [01:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 06/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml
t0: [01:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/08/2015] dt: 24 id: PO/Gastric In Total el: 3 cu: -1 cg: RN cv: 30 ap: none
t0: [01:00:00 06/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 06/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [01:00:00 06/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [02:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 06/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 06/08/2015] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 0 st: D/C'd
t0: [00:00:00 06/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 06/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [03:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [03:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 06/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [01:00:00 06/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 06/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [04:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 06/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [04:00:00 06/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 06/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 06/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 06/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [04:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [04:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 06/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 06/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [04:00:00 06/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 06/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 06/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [04:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 06/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 06/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 06/08/2015] id: Support Systems el: 0 cu: CSRU cg: RN v1: Relative st: NotStopd t0: [04:00:00 06/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 06/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [04:00:00 06/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 06/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 06/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd
t0: [02:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 15 vu: ml t0: [04:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 30 vu: ml
t0: [04:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:01:00 06/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 11.4 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 395 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.4 rs: Final st: NotStopd
t0: [04:01:00 06/08/2015] id: PT el: 0 cu: CSRU cg: 3161 v1: 12.5 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: INR Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: PTT Coags el: 0 cu: CSRU cg: 3161 v1: 50.1 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.5 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 50.1 rs: Final st: NotStopd
t0: [04:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd
t0: [04:01:00 06/08/2015] id: BUN el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [04:01:00 06/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [06:00:00 06/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 06/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [06:00:00 06/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [06:00:00 06/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [06:00:00 06/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 06/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 06/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 06/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 06/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: RN ai: 109 vo: 30 vu: ml
t0: [05:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/08/2015] id: Heparin el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 06/08/2015] id: AV Interval el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Pacemaker Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Pacer Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Atrial Sens/Capture el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Atrial Threshold el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Vent Sens/Capture el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Vent Threshold el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 06/08/2015] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [06:00:00 06/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 06/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Both Legs st: NotStopd t0: [06:00:00 06/08/2015] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd
t0: [07:00:00 06/08/2015] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 146 rs: Manual st: NotStopd
t0: [08:00:00 06/08/2015] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 06/08/2015] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/08/2015] id: Diet Type el: 0 cu: CSRU cg: RN v1: Diabetic st: NotStopd t0: [08:00:00 06/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 06/08/2015] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/08/2015] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 06/08/2015] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left IJ st: NotStopd t0: [08:00:00 06/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 06/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 06/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 06/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 06/08/2015] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 06/08/2015] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 06/08/2015] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 06/08/2015] id: LLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/08/2015] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 06/08/2015] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/08/2015] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 06/08/2015] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Protect & Secure st: NotStopd t0: [08:00:00 06/08/2015] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 06/08/2015] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 06/08/2015] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 06/08/2015] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/08/2015] id: Skin Color el: 0 cu: CSRU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/08/2015] id: Skin Temp/Condition el: 0 cu: CSRU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 06/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 06/08/2015] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [08:00:00 06/08/2015] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [08:00:00 06/08/2015] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 06/08/2015] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/08/2015] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/08/2015] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Walks Occasional st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: No Limitations st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Score el: 0 cu: CSRU cg: RN v1: 21 u1: number st: NotStopd t0: [08:00:00 06/08/2015] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 06/08/2015] tf: [10:55:00 06/08/2015] dt: 175 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 5 vu: ml
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 20 u1: UNIT tf: [20:00:00 09/08/2015] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human 70/30 v1: 25 u1: UNIT
t0: [09:00:00 06/08/2015] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 06/08/2015] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 06/08/2015] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 06/08/2015] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 06/08/2015] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 06/08/2015] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 06/08/2015] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 2 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd t0: [09:00:00 06/08/2015] id: Gastric Oral Gastric el: 2 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [08:00:00 06/08/2015] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 06/08/2015] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 06/08/2015] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 06/08/2015] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 06/08/2015] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 06/08/2015] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/08/2015] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [09:00:00 06/08/2015] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 06/08/2015] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 06/08/2015] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [09:00:00 06/08/2015] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:00:00 06/08/2015] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 06/08/2015] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/08/2015] tf: [10:55:00 06/08/2015] dt: 115 id: Urine Out Void el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 06/08/2015] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 06/08/2015] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: IV Infusion In Total el: 3 cu: -1 cg: RN cv: 225 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: 24h Total In el: 3 cu: -1 cg: RN cv: 255 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: RN cv: 1280 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: RN cv: -1025 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: RN cv: 1280 ap: none t0: [23:00:00 06/08/2015] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: RN cv: -120.69 ap: none
tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 325 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Atorvastatin v1: 10 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Clopidogrel Bisulfate v1: 75 u1: mg
t0: [10:00:00 06/08/2015] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 06/08/2015] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/08/2015] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/08/2015] id: Significant Events el: 0 cu: CSRU cg: RN st: NotStopd
tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: HS:PRN m1: Milk of Magnesia v1: 30 u1: ml tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: Q12H fs: 17, 5 dn: 2 m1: Furosemide v1: 20 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: Q12H fs: 17, 5 dn: 2 m1: Potassium Chloride v1: 20 u1: mEq tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen v1: 650 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: HS:PRN m1: Oxazepam v1: 15-30 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: QAM fs: 10 dn: 1 m1: Amitriptyline HCl v1: 75 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
tf: [17:00:00 06/08/2015] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 15 u1: UNIT tf: [12:00:00 08/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Amiodarone HCl v1: 400 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [20:00:00 09/08/2015] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human 70/30 v1: 20 u1: UNIT
tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl v1: 400 u1: mg
tf: [16:00:00 08/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 17 dn: 1 m1: Magnesium Oxide v1: 800 u1: mg tf: [16:00:00 09/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
tf: [20:00:00 09/08/2015] pt: Unit Dose rt: PO fr: Q24H fs: 22 dn: 1 m1: Levofloxacin v1: 500 u1: mg
dd: 25000 ds: 9 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 4375 ds: 3 ld: MOYAMOYA DISEASE dd: 5180 ds: 5 ld: PULMONARY COLLAPSE dd: 78039 ds: 4 ld: OTHER CONVULSIONS dd: 99832 ds: 2 ld: DISRUPT EXTER OPER WOUNF dd: 99859 ds: 1 ld: OTHER POSTOP INFECTION dd: E8782 ds: 6 ld: ABN REACT-ANASTOM/GRAFT dd: V4581 ds: 8 ld: AORTOCORONARY BYPASS
dd: 25000 ds: 5 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 6827 ds: 4 ld: CELLULITIS OF FOOT dd: 70715 ds: 1 ld: ULCER OF OTH PART FOOT dd: 73007 ds: 3 ld: AC OSTEOMYELITIS-ANKLE dd: 7854 ds: 2 ld: GANGRENE
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 73007 ds: 2 ld: AC OSTEOMYELITIS-ANKLE
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 73007 ds: 2 ld: AC OSTEOMYELITIS-ANKLE
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 73007 ds: 2 ld: AC OSTEOMYELITIS-ANKLE
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 73007 ds: 2 ld: AC OSTEOMYELITIS-ANKLE
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 25050 ds: 6 ld: DIABETES W/OPHTHALMIC MA dd: 36201 ds: 7 ld: DIABETIC RETINOPATHY NOS dd: 36230 ds: 1 ld: RETINAL VASC OCCLUS NOS dd: 36811 ds: 1 ld: SUDDEN VISUAL LOSS dd: 4019 ds: 4 ld: HYPERTENSION NOS dd: 412 ds: 3 ld: OLD MYOCARDIAL INFARCT dd: 43310 ds: 3 ld: OCCL CAROTID W/O INFARCT dd: 4375 ds: 2 ld: MOYAMOYA DISEASE dd: V1259 ds: 4 ld: PERS HX OTH DIS CIRC SYS dd: V4581 ds: 5 ld: AORTOCORONARY BYPASS
dd: 25060 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 3572 ds: 2 ld: NEUROPATHY IN DIABETES dd: 7038 ds: 3 ld: DISEASES OF NAIL NEC
dd: 25061 ds: 1 ld: DIABETES W/NEUROLOGICAL dd: 7038 ds: 2 ld: DISEASES OF NAIL NEC