This log is also available as text (s17765.txt) and as a (binary) annotation file (s17765.log).
Generated: Monday, 07-Jun-2010 13:20:31 EDT
(All dates below are surrogates.)
t0: [22:00:14 29/06/2016] tf: [12:46:11 01/07/2016] id: a40282 [view]
t0: [21:13:59 29/06/2016] tf: [12:43:59 01/07/2016] id: a40282n [view]
t0: [18:23:26 29/06/2016] tf: [16:23:42 02/07/2016] id: a42261 [view]
t0: [15:37:59 29/06/2016] tf: [16:21:59 02/07/2016] id: a42261n [view]
dd: 25000 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 5 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 4111 ds: 2 ld: INTERMED CORONARY SYND dd: 412 ds: 3 ld: OLD MYOCARDIAL INFARCT dd: 41401 ds: 1 ld: CORON ATHEROSCLER NATIVE
tf: [13:24:00 01/07/2016] dt: 2365 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: [22:00:00 29/06/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [22:00:00 29/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 29/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/06/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 29/06/2016] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 29/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 29/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 29/06/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 29/06/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 29/06/2016] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 29/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [22:00:00 29/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 29/06/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 29/06/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [22:00:00 29/06/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 29/06/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [22:00:00 29/06/2016] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 29/06/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/06/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/06/2016] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 29/06/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [22:00:00 29/06/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 29/06/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 29/06/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [22:00:00 29/06/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 29/06/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 29/06/2016] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 29/06/2016] id: Pain Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 29/06/2016] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [22:00:00 29/06/2016] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 29/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/06/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [22:00:00 29/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 29/06/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 29/06/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [22:00:00 29/06/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 29/06/2016] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [22:00:00 29/06/2016] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [22:00:00 29/06/2016] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [22:00:00 29/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [22:00:00 29/06/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 29/06/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [22:00:00 29/06/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 29/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/06/2016] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [22:00:00 29/06/2016] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 29/06/2016] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 29/06/2016] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 29/06/2016] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [22:00:00 29/06/2016] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 29/06/2016] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [22:00:00 29/06/2016] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [22:00:00 29/06/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [22:00:00 29/06/2016] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/06/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 29/06/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 29/06/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 29/06/2016] id: NBP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 29/06/2016] id: NBP Mean el: 0 cu: CCU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [22:00:00 29/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 29/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [22:00:00 29/06/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [22:00:00 29/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [22:00:00 29/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 29/06/2016] id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [22:00:00 29/06/2016] id: Daily Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd
t0: [22:17:00 29/06/2016] id: BSA el: 1033 cu: CCU cg: -1 v1: 2.39238 u1: m2 t0: [22:17:00 29/06/2016] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 110.5 u1: kg t0: [22:17:00 29/06/2016] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [22:17:00 29/06/2016] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CHEST PAIN;UNSTABLE ANGINA t0: [22:17:00 29/06/2016] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [22:17:00 29/06/2016] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 71 u1: inches t0: [22:17:00 29/06/2016] id: Readmission el: 1014 cu: CCU cg: -1 t0: [22:17:00 29/06/2016] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [22:17:00 29/06/2016] id: Religion el: 1000 cu: CCU cg: -1 v1: U t0: [22:17:00 29/06/2016] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [22:17:00 29/06/2016] id: Ext el: 1010 cu: CCU cg: -1 t0: [22:17:00 29/06/2016] id: PIN el: 1012 cu: CCU cg: -1 t0: [22:17:00 29/06/2016] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [22:00:00 29/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 29/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing v2: Clean and Dry st: NotStopd t0: [22:00:00 29/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [22:00:00 29/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [22:00:00 29/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
id: Nitroglycerine-k el: 100 cu: CCU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Nitroglycerine-k el: 200 cu: CSRU cg: -1 io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Heparin el: 100 cu: CCU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ra: 3 ru: ml/hr io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: -1 ra: 3 ru: ml/hr
id: D5W el: 1 cu: CCU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 2 cu: CSRU cg: -1 io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [22:18:00 29/06/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 35.4 rs: Final st: NotStopd
t0: [22:18:00 29/06/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.3 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 37.4 u1: % rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.9 u1: gm/dl rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 221 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.31 u1: /mic l rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.3 rs: Final st: NotStopd
t0: [23:00:00 29/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 29/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 29/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 29/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 29/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 51 u1: BPM st: NotStopd t0: [23:00:00 29/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 29/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 29/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 29/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [23:00:00 29/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 29/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 29/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/06/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [22:00:00 29/06/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [22:00:00 29/06/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 29/06/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 29/06/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 29/06/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 29/06/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [23:00:00 29/06/2016] tf: [08:00:00 01/07/2016] dt: 1980 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [23:00:00 29/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [23:00:00 29/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2304 id: Urine Out Void el: 1 cu: CCU cg: RN vo: 425 vu: ml
t0: [22:00:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2364 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2304 id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.180995 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/06/2016] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 425 cv: 425 ap: none t0: [23:00:00 29/06/2016] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -415 cv: -415 ap: none t0: [23:00:00 29/06/2016] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 10 cv: 10 ap: none t0: [23:00:00 29/06/2016] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 10 cv: 10 ap: none t0: [23:00:00 29/06/2016] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 425 cv: 425 ap: none t0: [23:00:00 29/06/2016] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -415 cv: -415 ap: none t0: [23:00:00 29/06/2016] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 425 cv: 425 ap: none t0: [23:00:00 29/06/2016] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -415 cv: -415 ap: none t0: [23:00:00 30/06/2016] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 60.91 cv: 327.776 ap: none
t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 87 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9.3 u1: mg/dl rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 186 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 130 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.8 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.9 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd
t0: [23:15:00 29/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:15:00 29/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 29/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:15:00 29/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:15:00 29/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:15:00 29/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [23:15:00 29/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [23:15:00 29/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [23:15:00 29/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [23:15:00 29/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:15:00 29/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [23:15:00 29/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:15:00 29/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 29/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 49 u1: BPM st: NotStopd t0: [00:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 30/06/2016] id: NBP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 30/06/2016] id: NBP Mean el: 0 cu: CCU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [00:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 29/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.542986 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 29/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.542986 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:05:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:05:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:05:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:05:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:05:00 30/06/2016] id: NBP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:05:00 30/06/2016] id: NBP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:05:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 137 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:05:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [00:05:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:05:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:05:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:05:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [00:05:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:10:00 30/06/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:15:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:15:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:15:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [00:15:00 30/06/2016] id: NBP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:15:00 30/06/2016] id: NBP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:15:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:15:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:15:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:15:00 30/06/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:15:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:15:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:15:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [00:15:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:20:00 30/06/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:30:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:30:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:30:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [00:30:00 30/06/2016] id: NBP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:30:00 30/06/2016] id: NBP Mean el: 0 cu: CCU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [00:30:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:30:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:30:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:30:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:30:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:30:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:30:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:05:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.904977 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:05:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:15:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.26697 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:30:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1.62896 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:35:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:35:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:35:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:35:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 50 u1: BPM st: NotStopd t0: [00:35:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:35:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:35:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:35:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:35:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:35:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:35:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:40:00 30/06/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:45:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:45:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:45:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 58 u1: BPM st: NotStopd t0: [00:45:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:45:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:45:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:45:00 30/06/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:45:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:45:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:45:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:45:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 53 u1: BPM st: NotStopd t0: [01:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [01:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:35:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17195 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:45:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [01:30:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:30:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:30:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:30:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:30:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 51 u1: BPM st: NotStopd t0: [01:30:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [01:30:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:30:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [01:30:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:30:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [01:30:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:30:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [01:30:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/06/2016] tf: [13:24:00 01/07/2016] dt: 2244 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7.5 vu: ml t0: [00:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 25.7419 vu: ml t0: [01:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml
t0: [01:30:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing v2: Oozing st: NotStopd t0: [00:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
tf: [14:00:00 02/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin v1: 100 u1: mg m2: D5W v2: 250 u2: ml tf: [14:00:00 02/07/2016] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [14:00:00 02/07/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Morphine Sulfate v1: 1 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: Q24H fs: 2 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl v1: 10 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [14:00:00 02/07/2016] pt: Unit Dose rt: SL fr: PRN m1: Nitroglycerin SL v1: 0.3 u1: mg
t0: [02:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [02:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing st: NotStopd t0: [02:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [02:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [02:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [02:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 35.9678 vu: ml t0: [02:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12.25 vu: ml
t0: [02:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 55 u1: BPM st: NotStopd t0: [03:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [03:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [03:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 35.9678 vu: ml t0: [03:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [04:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 35.9678 vu: ml t0: [04:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [03:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [04:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [04:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 53 u1: BPM st: NotStopd t0: [05:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [05:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.17 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 30/06/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 30/06/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd
t0: [00:00:00 30/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 30/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 30/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd
t0: [06:00:00 30/06/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [06:00:00 30/06/2016] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/06/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 30/06/2016] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 30/06/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/06/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [06:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 30/06/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 30/06/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 53 u1: BPM st: NotStopd t0: [06:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 30/06/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [06:00:00 30/06/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 30/06/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 30/06/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [06:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing st: NotStopd t0: [06:00:00 30/06/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [06:00:00 30/06/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 30/06/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [06:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [06:00:00 30/06/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 30/06/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 30/06/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [06:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 30/06/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 30/06/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 30/06/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [06:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 30/06/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 30/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [06:00:00 30/06/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [06:00:00 30/06/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 30/06/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [06:27:00 30/06/2016] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 205 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.17 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [05:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 35.9678 vu: ml t0: [05:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [06:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 35.9678 vu: ml t0: [06:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [06:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/06/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/06/2016] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 30/06/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 30/06/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/06/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [08:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/06/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 30/06/2016] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/06/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 30/06/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/06/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 30/06/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/06/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 30/06/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 30/06/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 30/06/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 30/06/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/06/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/06/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/06/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/06/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing st: NotStopd t0: [08:00:00 30/06/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 30/06/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 30/06/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 30/06/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/06/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 30/06/2016] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [08:00:00 30/06/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/06/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/06/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 30/06/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 30/06/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/06/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 30/06/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 30/06/2016] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 30/06/2016] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [08:00:00 30/06/2016] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [08:00:00 30/06/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 30/06/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [08:00:00 30/06/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/06/2016] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [08:00:00 30/06/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 30/06/2016] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 30/06/2016] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 30/06/2016] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 30/06/2016] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 30/06/2016] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/06/2016] id: Braden Score el: 0 cu: CCU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 30/06/2016] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 30/06/2016] tf: [13:24:00 01/07/2016] dt: 1764 id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [08:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 76.245 vu: ml t0: [08:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 29 vu: ml t0: [08:00:00 30/06/2016] id: Urine Out Void el: 1 cu: CCU cg: RN vo: 325 vu: ml
t0: [08:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/06/2016] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 30/06/2016] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 60.91 cv: 60.91 ap: none t0: [23:00:00 30/06/2016] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 60.91 cv: 1222.78 ap: none t0: [23:00:00 30/06/2016] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 60.91 cv: 1642.78 ap: none t0: [23:00:00 30/06/2016] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 420 ap: none t0: [23:00:00 30/06/2016] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 900 ap: none t0: [23:00:00 30/06/2016] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 60.91 cv: 742.776 ap: none t0: [23:00:00 30/06/2016] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 900 ap: none
t0: [06:08:00 30/06/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.2 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.5 u1: % rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.6 u1: gm/dl rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 260 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.07 u1: /mic l rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.2 rs: Final st: NotStopd t0: [06:27:00 30/06/2016] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.4845 u1: ml/dl st: NotStopd
t0: [06:08:00 30/06/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.6 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 55.9 rs: Final st: NotStopd
t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: Cholesterol (<200) Chemistry el: 0 cu: CCU cg: 140 v1: 165 u1: mg/dl rs: Final st: NotStopd t0: [22:18:00 29/06/2016] tf: [13:24:00 01/07/2016] dt: 2346 id: Triglyceride (0-200) Chemistry el: 0 cu: CCU cg: 140 v1: 232 rs: Final st: NotStopd
t0: [08:05:00 30/06/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 39 u1: % rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 13.1 u1: gm/dl rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 296 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.44 u1: /mic l rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd
t0: [06:08:00 30/06/2016] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 199 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [06:08:00 30/06/2016] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd
t0: [08:05:00 30/06/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.5 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 57 rs: Final st: NotStopd
t0: [08:05:00 30/06/2016] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 199 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd
t0: [09:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/06/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 58 u1: BPM st: NotStopd t0: [09:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [09:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [09:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [09:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:05:00 30/06/2016] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 102 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [08:05:00 30/06/2016] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 136 rs: Final st: NotStopd
t0: [08:00:00 30/06/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [08:00:00 30/06/2016] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd
tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin v1: 325 u1: mg tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Simvastatin v1: 40 u1: mg
t0: [10:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [10:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [10:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/06/2016] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [10:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [10:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [10:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/06/2016] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [10:00:00 30/06/2016] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 30/06/2016] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 30/06/2016] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 30/06/2016] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 30/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd
t0: [11:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [11:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [11:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [11:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [11:00:00 30/06/2016] id: Urine Out Void el: 1 cu: CCU cg: RN vo: 250 vu: ml
t0: [11:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/06/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/06/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [12:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 30/06/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 30/06/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [12:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 30/06/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 30/06/2016] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 30/06/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 30/06/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/06/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 30/06/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 30/06/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 30/06/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 30/06/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 30/06/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 30/06/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/06/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/06/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/06/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/06/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 30/06/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 30/06/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 30/06/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [12:00:00 30/06/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/06/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/06/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/06/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 30/06/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 30/06/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 30/06/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 30/06/2016] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 30/06/2016] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 30/06/2016] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [12:00:00 30/06/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 30/06/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [12:00:00 30/06/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/06/2016] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [12:00:00 30/06/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:00:00 30/06/2016] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 30/06/2016] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 30/06/2016] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 30/06/2016] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 30/06/2016] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 30/06/2016] id: Braden Score el: 0 cu: CCU cg: RN v1: 18 u1: number st: NotStopd t0: [12:00:00 30/06/2016] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [12:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [12:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [12:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/06/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 55 u1: BPM st: NotStopd t0: [13:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [13:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 30/06/2016] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 240 vu: ml t0: [13:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [13:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [13:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 30/06/2016] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 61 u1: BPM st: NotStopd t0: [14:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [14:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 30/06/2016] id: Family Communication el: 0 cu: CCU cg: RN v1: Fam Talked to MD st: NotStopd t0: [15:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 61 u1: BPM st: NotStopd t0: [15:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [15:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [14:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [15:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [15:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [14:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [15:00:00 01/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 16 dn: 1 m1: Lorazepam v1: 1 u1: mg
t0: [16:00:00 30/06/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/06/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 30/06/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/06/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [16:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 30/06/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 30/06/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 30/06/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [16:00:00 30/06/2016] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 30/06/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 30/06/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/06/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 30/06/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 30/06/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 30/06/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [16:00:00 30/06/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 30/06/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 30/06/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/06/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/06/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/06/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/06/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 30/06/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [16:00:00 30/06/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 30/06/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 30/06/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/06/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 30/06/2016] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [16:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [16:00:00 30/06/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/06/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/06/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 30/06/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 30/06/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 30/06/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 30/06/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 30/06/2016] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 30/06/2016] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 30/06/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 30/06/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [16:00:00 30/06/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/06/2016] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [16:00:00 30/06/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 30/06/2016] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 30/06/2016] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 30/06/2016] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 30/06/2016] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 30/06/2016] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 30/06/2016] id: Braden Score el: 0 cu: CCU cg: RN v1: 18 u1: number st: NotStopd t0: [16:00:00 30/06/2016] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [16:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [16:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [16:00:00 30/06/2016] id: Urine Out Void el: 1 cu: CCU cg: RN vo: 325 vu: ml
t0: [16:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 30/06/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 185 rs: Manual st: NotStopd
t0: [17:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [17:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [17:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [18:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [18:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 76.245 vu: ml t0: [18:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 29 vu: ml
t0: [17:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/06/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 30/06/2016] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/06/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 30/06/2016] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/06/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [20:00:00 30/06/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 30/06/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 30/06/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 30/06/2016] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [20:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/06/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [20:00:00 30/06/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 30/06/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 30/06/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 30/06/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 30/06/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 30/06/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 30/06/2016] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 30/06/2016] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 30/06/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 30/06/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 30/06/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 30/06/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [20:00:00 30/06/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 30/06/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 30/06/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/06/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 30/06/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 30/06/2016] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:00:00 30/06/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 30/06/2016] id: Assistance Device el: 0 cu: CCU cg: RN v1: Supervised st: NotStopd t0: [20:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [20:00:00 30/06/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 30/06/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 30/06/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/06/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 30/06/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 30/06/2016] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 30/06/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [20:00:00 30/06/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [19:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [20:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 38.1225 vu: ml t0: [20:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [20:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Lorazepam v1: 1 u1: mg
t0: [21:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [21:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:00:00 02/07/2016] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Zolpidem Tartrate v1: 5 u1: mg
t0: [23:39:00 30/06/2016] tf: [13:24:00 01/07/2016] dt: 825 id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [22:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [22:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 30/06/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [22:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 30/06/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 30/06/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/06/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 30/06/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 30/06/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 30/06/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 30/06/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 30/06/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 30/06/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 30/06/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/06/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [23:00:00 30/06/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 30/06/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/07/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 01/07/2016] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/07/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 01/07/2016] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 01/07/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/07/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [00:00:00 01/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 01/07/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 01/07/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 01/07/2016] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/07/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 01/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 01/07/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 01/07/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/07/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [00:00:00 01/07/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 01/07/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 01/07/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 01/07/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 01/07/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 01/07/2016] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 01/07/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/07/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/07/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/07/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/07/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 01/07/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 01/07/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 01/07/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 01/07/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 01/07/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 01/07/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/07/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 01/07/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 01/07/2016] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 01/07/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 01/07/2016] id: Assistance Device el: 0 cu: CCU cg: RN v1: Independent st: NotStopd t0: [00:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [00:00:00 01/07/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/07/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/07/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 01/07/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 01/07/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/07/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 01/07/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 01/07/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 01/07/2016] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 01/07/2016] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 01/07/2016] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 01/07/2016] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 01/07/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/07/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [00:00:00 01/07/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/07/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [21:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [21:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [22:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [22:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [23:00:00 30/06/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [23:00:00 30/06/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [00:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [00:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [22:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/06/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/06/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/07/2016] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 953.92 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 953.92 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: -46.08 ap: none t0: [23:00:00 01/07/2016] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 281.696 ap: none
t0: [00:00:00 01/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 263 rs: Manual st: NotStopd
t0: [01:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [01:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [02:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [02:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/07/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [02:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [02:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [04:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [01:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [02:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [02:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [02:00:00 01/07/2016] id: Urine Out Void el: 1 cu: CCU cg: RN vo: 400 vu: ml t0: [03:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [03:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [04:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [04:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml
t0: [04:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/07/2016] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 1000 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 1000 ap: none
t0: [03:00:00 01/07/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [03:00:00 01/07/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [03:00:00 01/07/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [06:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [06:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [06:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:21:00 01/07/2016] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: CaO2 el: 0 cu: CCU cg: 140 v1: 17.0936 u1: ml/dl st: NotStopd t0: [06:21:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 189 rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [06:21:00 01/07/2016] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [06:30:00 01/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.6 u1: % rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.1 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 221 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.9 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd
t0: [06:30:00 01/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 52 rs: Final st: NotStopd
t0: [06:30:00 01/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 11 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 182 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [06:30:00 01/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd
t0: [07:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 01/07/2016] id: NBP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 01/07/2016] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [07:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/07/2016] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 01/07/2016] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 01/07/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/07/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 01/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/07/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 01/07/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 01/07/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 01/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/07/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 01/07/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/07/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 01/07/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/07/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 01/07/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 01/07/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 01/07/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 01/07/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/07/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/07/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/07/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/07/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 01/07/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 01/07/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/07/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 01/07/2016] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 01/07/2016] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 01/07/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Dentures st: NotStopd t0: [08:00:00 01/07/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 01/07/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 01/07/2016] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 01/07/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/07/2016] id: Previous Weight el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [08:00:00 01/07/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/07/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/07/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/07/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 01/07/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/07/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 01/07/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 01/07/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/07/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [08:00:00 01/07/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 01/07/2016] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 01/07/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 01/07/2016] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 01/07/2016] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 01/07/2016] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 01/07/2016] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 01/07/2016] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/07/2016] id: Braden Score el: 0 cu: CCU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 01/07/2016] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [06:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 92.82 vu: ml t0: [06:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 29 vu: ml t0: [08:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 92.82 vu: ml t0: [08:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 29 vu: ml st: Stopped
t0: [07:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:45:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:45:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:45:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:45:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 61 u1: BPM st: NotStopd t0: [09:45:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:45:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:45:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [09:45:00 01/07/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:45:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:45:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:45:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:45:00 01/07/2016] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [09:45:00 01/07/2016] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [09:45:00 01/07/2016] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd
io: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 125 ru: ml/hr
tf: [09:00:00 03/07/2016] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Aspirin v1: 325 u1: mg tf: [09:00:00 04/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Isosorbide Mononitrate (Extended Release) v1: 60 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 325 u1: mg
id: .45% Normal Saline el: 1 cu: CCU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [10:00:00 01/07/2016] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/07/2016] id: Diastolic Unloading el: 0 cu: CCU cg: RN v1: 1 u1: % st: NotStopd t0: [10:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [10:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/07/2016] id: IABP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [10:00:00 01/07/2016] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [10:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [10:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [10:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [10:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 01/07/2016] id: BAEDP el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 01/07/2016] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 24 u1: % st: NotStopd t0: [10:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 01/07/2016] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [10:00:00 01/07/2016] id: Angio Appearance #2 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [10:00:00 01/07/2016] id: Angio Dressing #2 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [10:00:00 01/07/2016] id: Angio Site #2 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [10:00:00 01/07/2016] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd
t0: [10:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 92.82 vu: ml t0: [10:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [10:30:00 01/07/2016] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [08:00:00 01/07/2016] tf: [13:24:00 01/07/2016] dt: 324 id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Cath st: NotStopd
t0: [11:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/07/2016] id: IABP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [11:00:00 01/07/2016] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [11:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [11:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [11:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 127 u1: mmHg st: NotStopd t0: [11:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 01/07/2016] id: BAEDP el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 01/07/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 01/07/2016] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 11 u1: % st: NotStopd t0: [11:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/07/2016] tf: [13:24:00 01/07/2016] dt: 144 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 46.41 vu: ml t0: [11:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [11:00:00 01/07/2016] tf: [13:24:00 01/07/2016] dt: 144 id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 62.5 vu: ml
t0: [11:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.01659 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 01/07/2016] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 01/07/2016] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 18 st: NotStopd t0: [11:00:00 01/07/2016] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:00:00 01/07/2016] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 18 st: NotStopd t0: [11:00:00 01/07/2016] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [11:00:00 01/07/2016] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [11:36:00 01/07/2016] id: BSA el: 1033 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Admit Wt el: 1032 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: CHEST PAIN;UNSTABLE ANGINA t0: [11:36:00 01/07/2016] id: Service el: 1026 cu: CCU cg: -1 v1: CSU t0: [11:36:00 01/07/2016] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Readmission el: 1014 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [11:36:00 01/07/2016] id: Religion el: 1000 cu: CCU cg: -1 v1: U t0: [11:36:00 01/07/2016] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Ext el: 1010 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: PIN el: 1012 cu: CCU cg: -1 t0: [11:36:00 01/07/2016] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [12:00:00 01/07/2016] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 01/07/2016] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/07/2016] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/07/2016] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 01/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 01/07/2016] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 01/07/2016] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 01/07/2016] id: Heart Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [12:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 01/07/2016] id: IABP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [12:00:00 01/07/2016] id: IABP setting el: 0 cu: CCU cg: RN v1: 1:1 st: NotStopd t0: [12:00:00 01/07/2016] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 01/07/2016] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 01/07/2016] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/07/2016] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 01/07/2016] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 01/07/2016] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/07/2016] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 01/07/2016] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/07/2016] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 01/07/2016] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 01/07/2016] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 01/07/2016] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 01/07/2016] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 01/07/2016] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: RU Ant Forearm v2: 16 gauge st: NotStopd t0: [12:00:00 01/07/2016] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/07/2016] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/07/2016] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/07/2016] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/07/2016] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 01/07/2016] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/07/2016] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 01/07/2016] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 01/07/2016] id: Angio Appearance #2 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 01/07/2016] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 01/07/2016] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 01/07/2016] id: Angio Dressing #2 el: 0 cu: CCU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 01/07/2016] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Dentures st: NotStopd t0: [12:00:00 01/07/2016] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 01/07/2016] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 01/07/2016] id: Angio Site #2 el: 0 cu: CCU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 01/07/2016] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [12:00:00 01/07/2016] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/07/2016] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [12:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [12:00:00 01/07/2016] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [12:00:00 01/07/2016] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/07/2016] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CCU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [12:00:00 01/07/2016] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 01/07/2016] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 01/07/2016] id: BAEDP el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 01/07/2016] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/07/2016] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 01/07/2016] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 01/07/2016] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 01/07/2016] id: Systolic Unloading el: 0 cu: CCU cg: RN v1: 13 u1: % st: NotStopd t0: [12:00:00 01/07/2016] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/07/2016] id: Urine Source el: 0 cu: CCU cg: RN v1: Voids st: NotStopd t0: [12:00:00 01/07/2016] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 01/07/2016] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/07/2016] id: Behavior el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [12:00:00 01/07/2016] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:00:00 01/07/2016] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 01/07/2016] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 01/07/2016] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 01/07/2016] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 01/07/2016] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 01/07/2016] id: Braden Score el: 0 cu: CCU cg: RN v1: 16 u1: number st: NotStopd t0: [12:00:00 01/07/2016] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [12:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 50 vu: ml t0: [12:00:00 01/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 14.5 vu: ml t0: [12:00:00 01/07/2016] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 125 vu: ml
t0: [12:00:00 01/07/2016] id: Nitroglycerine-k el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 3.01659 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 01/07/2016] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1450 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:30:00 01/07/2016] id: Significant Events el: 0 cu: CCU cg: RN v1: OR Sent st: NotStopd
t0: [12:30:00 01/07/2016] id: Urine Out Void el: 1 cu: CCU cg: RN vo: 600 vu: ml
tf: [16:39:00 04/07/2016] dt: 4442 cu: CSRU de: FA2
t0: [13:49:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 277 u1: mmHg rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 206 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35 u1: % rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [13:49:00 01/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd
t0: [14:00:00 01/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [15:51:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [15:51:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [15:51:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [15:51:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [15:51:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 296 u1: mmHg rs: Final st: NotStopd t0: [15:51:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [15:51:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [15:51:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 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: KCL el: 100 cu: CSRU cg: RN io: Sterile Water 100.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
t0: [16:00:00 01/07/2016] id: Cartridge/Bag Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/07/2016] id: Initials (2 RNs) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 01/07/2016] id: Med Wasted/Amt el: 0 cu: CSRU cg: -1 st: D/C'd
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: 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: 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: [16:40:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 315 u1: mmHg rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 213 rs: Final st: NotStopd t0: [16:40:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.9 rs: Final st: NotStopd
t0: [17:43:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 214 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33 u1: % rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [17:43:00 01/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd
t0: [18:30:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:30:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:30:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [18:30:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [18:30:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [18:30:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:30:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:30:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:30:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [18:30:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:30:00 01/07/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [18:30:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 01/07/2016] tf: [16:39:00 04/07/2016] dt: 4209 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:28:00 01/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 36.8421 u1: ml/cmH st: NotStopd t0: [18:28:00 01/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [18:28:00 01/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [18:28:00 01/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [18:28:00 01/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:28:00 01/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.2 st: NotStopd t0: [18:28:00 01/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [18:28:00 01/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [18:28:00 01/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [18:28:00 01/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 18 st: NotStopd t0: [18:28:00 01/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [18:28:00 01/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [18:28:00 01/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 40 u1: L/m st: NotStopd t0: [18:28:00 01/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [18:28:00 01/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [18:28:00 01/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [18:28:00 01/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [18:28:00 01/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:28:00 01/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:28:00 01/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:28:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [18:28:00 01/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [18:28:00 01/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [18:28:00 01/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [18:28:00 01/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [18:28:00 01/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd t0: [18:30:00 01/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [18:30:00 01/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [18:30:00 01/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [18:30:00 01/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [18:30:00 01/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RRT v1: Regular st: NotStopd
t0: [18:30:00 01/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:30:00 01/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [18:30:00 01/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:45:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:45:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.40167 u1: ... st: NotStopd t0: [18:45:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 01/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [18:45:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:45:00 01/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 13 u1: % st: NotStopd t0: [18:45:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [18:45:00 01/07/2016] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [18:45:00 01/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.51374 u1: kg x m st: NotStopd t0: [18:45:00 01/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.55649 u1: ... st: NotStopd t0: [18:45:00 01/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 102.626 u1: g * m st: NotStopd t0: [18:45:00 01/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.0962 u1: g*m/m2 st: NotStopd t0: [18:45:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:45:00 01/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [18:45:00 01/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [18:45:00 01/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.0042 u1: ... st: NotStopd t0: [18:45:00 01/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 669.127 u1: ... st: NotStopd t0: [18:45:00 01/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [18:45:00 01/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [18:45:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:45:00 01/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 97.9518 u1: ml st: NotStopd t0: [18:45:00 01/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 7 u1: % st: NotStopd t0: [18:45:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:45:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [18:45:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [18:45:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 01/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.13 u1: L/min st: NotStopd
t0: [18:30:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 0 vu: ml t0: [18:30:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 0 vu: ml t0: [18:30:00 01/07/2016] tf: [16:39:00 04/07/2016] dt: 4209 id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [18:30:00 01/07/2016] tf: [01:00:00 02/07/2016] dt: 390 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [18:30:00 01/07/2016] tf: [16:39:00 04/07/2016] dt: 4209 id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:44:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 167 u1: mmHg rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 170 rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.26 rs: Final st: NotStopd t0: [18:44:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [18:40:00 01/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.8 u1: % rs: Final st: NotStopd t0: [18:40:00 01/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [19:00:00 01/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 01/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 01/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [18:00:00 02/07/2016] pt: Unit Dose rt: NG fr: Q6H fs: 19, 1, 7, 13 dn: 4 m1: Sucralfate v1: 1 u1: gm tf: [20:00:00 02/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml tf: [20:00:00 02/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg m2: Soln. v2: 100 u2: ml tf: [20:00:00 02/07/2016] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 19 dn: 1 m1: Glycopyrrolate v1: 0.6 u1: mg tf: [20:00:00 02/07/2016] pt: Unit Dose rt: IV fr: ONCE:PRN fs: 19 dn: 1 m1: Neostigmine v1: 3 u1: mg tf: [20:00:00 02/07/2016] pt: Unit Dose rt: IV fr: PRN m1: Meperidine v1: 12.5 u1: mg tf: [01:00:00 03/07/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 2, 14 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [09:00:00 03/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin v1: 100 u1: mg m2: D5W v2: 250 u2: ml tf: [09:00:00 03/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroprusside Sodium v1: 50 u1: mg m2: D5W v2: 250 u2: ml tf: [11:00:00 04/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Humulin-R Insulin v1: 100 u1: UNIT m2: NS v2: 100 u2: ml tf: [17:00:00 04/07/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [17:00:00 04/07/2016] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [17:00:00 04/07/2016] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm tf: [17:00:00 04/07/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 0.5-4.0 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Metoclopramide v1: 10 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen v1: 650 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PR fr: Q4H:PRN m1: Acetaminophen (Rectal) v1: 650 u1: mg
t0: [18:30:00 01/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [18:30:00 01/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [18:30:00 01/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:30:00 01/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [18:30:00 01/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:30:00 01/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:30:00 01/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [18:30:00 01/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [18:30:00 01/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:30:00 01/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [18:30:00 01/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [18:30:00 01/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 01/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:30:00 01/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:30:00 01/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:30:00 01/07/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:30:00 01/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [18:30:00 01/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [18:30:00 01/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [18:30:00 01/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [18:30:00 01/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [18:30:00 01/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [18:30:00 01/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:30:00 01/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 01/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 01/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:30:00 01/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 01/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 01/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 01/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:30:00 01/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:30:00 01/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [18:30:00 01/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [18:30:00 01/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [18:30:00 01/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [18:30:00 01/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [18:30:00 01/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:30:00 01/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [18:30:00 01/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:30:00 01/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [18:30:00 01/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:30:00 01/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:30:00 01/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [18:30:00 01/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Asynchron st: NotStopd t0: [18:30:00 01/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:30:00 01/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [18:30:00 01/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [18:30:00 01/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [18:30:00 01/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:30:00 01/07/2016] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Not Applicable v2: Yes st: NotStopd t0: [18:30:00 01/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [18:30:00 01/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [18:30:00 01/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 20 st: NotStopd t0: [18:30:00 01/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [18:30:00 01/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:30:00 01/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:30:00 01/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:30:00 01/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [18:30:00 01/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:30:00 01/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:30:00 01/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [18:30:00 01/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:30:00 01/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:30:00 01/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [18:30:00 01/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anesthetized st: NotStopd t0: [18:30:00 01/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [18:30:00 01/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [18:30:00 01/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [18:30:00 01/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [18:30:00 01/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [18:30:00 01/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [18:30:00 01/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [18:30:00 01/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [18:30:00 01/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [18:30:00 01/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [18:30:00 01/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [18:30:00 01/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [18:45:00 01/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [18:45:00 01/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [18:45:00 01/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [18:45:00 01/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [18:45:00 01/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [18:45:00 01/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [18:45:00 01/07/2016] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [18:45:00 01/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [18:45:00 01/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [18:45:00 01/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [19:00:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/07/2016] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [19:00:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [19:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:00:00 01/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 01/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 9 u1: % st: NotStopd t0: [19:00:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [19:00:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [19:00:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:15:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:15:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:15:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:15:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:15:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:15:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:15:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:15:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [19:15:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [19:15:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:15:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:15:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:15:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [19:15:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:15:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:15:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:15:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [19:15:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [19:15:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 01/07/2016] tf: [17:00:00 03/07/2016] dt: 2775 id: D5W 250.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [19:00:00 01/07/2016] tf: [16:39:00 04/07/2016] dt: 4179 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 110 vo: 3200 vu: ml t0: [19:00:00 01/07/2016] tf: [13:00:00 04/07/2016] dt: 3960 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 8.48 vu: ml t0: [19:00:00 01/07/2016] tf: [04:00:00 02/07/2016] dt: 540 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 33.9 vu: ml t0: [19:00:00 01/07/2016] tf: [03:00:00 04/07/2016] dt: 3360 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [19:00:00 01/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [19:00:00 01/07/2016] tf: [16:39:00 04/07/2016] dt: 4179 id: OR Out PACU Urine el: 1 cu: CSRU cg: RN vo: 595 vu: ml t0: [19:00:00 01/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [19:00:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:15:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:15:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:40:00 01/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [18:40:00 01/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.5 rs: Final st: NotStopd t0: [18:40:00 01/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 28.2 rs: Final st: NotStopd
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
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
t0: [19:30:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:30:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:30:00 01/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 9 u1: % st: NotStopd t0: [19:30:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:30:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:30:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:30:00 01/07/2016] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [19:30:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:30:00 01/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [19:30:00 01/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:30:00 01/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [19:30:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:30:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:30:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [19:30:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [19:30:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:45:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:45:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [19:45:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:45:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:45:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:45:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:45:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:45:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [19:45:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [19:45:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:45:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:45:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:45:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [19:45:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [19:45:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:45:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:45:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [19:45:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [19:45:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.22176 u1: ... st: NotStopd t0: [20:00:00 01/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 01/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 01/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [20:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 8 u1: % st: NotStopd t0: [20:00:00 01/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 01/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 01/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 01/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 01/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 01/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [20:00:00 01/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 01/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [20:00:00 01/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [20:00:00 01/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 01/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [20:00:00 01/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 01/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 01/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 01/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.95872 u1: kg x m st: NotStopd t0: [20:00:00 01/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.34728 u1: ... st: NotStopd t0: [20:00:00 01/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 01/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 96.1248 u1: g * m st: NotStopd t0: [20:00:00 01/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.1674 u1: g*m/m2 st: NotStopd t0: [20:00:00 01/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 01/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 01/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 01/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [20:00:00 01/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 01/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 01/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [20:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [20:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [20:00:00 01/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 01/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [20:00:00 01/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 01/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:00:00 01/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 01/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.9121 u1: ... st: NotStopd t0: [20:00:00 01/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 685.714 u1: ... st: NotStopd t0: [20:00:00 01/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1639.75 u1: ... st: NotStopd t0: [20:00:00 01/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [20:00:00 01/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 01/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 92.7711 u1: ml st: NotStopd t0: [20:00:00 01/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [20:00:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [20:00:00 01/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Anesthetized st: NotStopd t0: [20:00:00 01/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 01/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 01/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 01/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 01/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 01/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 01/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 01/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [20:00:00 01/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.7 u1: L/min st: NotStopd t0: [20:00:00 01/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [20:00:00 01/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 01/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 01/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 01/07/2016] tf: [16:39:00 04/07/2016] dt: 4119 id: Sterile Water 100.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 8.2875 vu: ml t0: [20:00:00 01/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 33.15 vu: ml t0: [20:00:00 01/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [20:00:00 01/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [20:00:00 01/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [19:30:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:45:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:45:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:15:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:15:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:15:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:15:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:15:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [20:15:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:15:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:15:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:15:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:15:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [20:15:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:15:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:15:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:15:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [20:15:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [20:15:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:30:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 01/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [20:30:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:30:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [20:30:00 01/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [20:30:00 01/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [20:30:00 01/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:30:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:30:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:30:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:30:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:30:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [20:30:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:30:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:30:00 01/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: None st: NotStopd t0: [20:30:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:30:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:30:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:30:00 01/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [20:30:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 4.14375 vu: ml t0: [20:30:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 16.575 vu: ml t0: [20:30:00 01/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 5 vu: ml t0: [20:30:00 01/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 18 vu: ml t0: [20:30:00 01/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [20:15:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:30:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:30:00 01/07/2016] tf: [12:00:00 04/07/2016] dt: 3810 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: [20:40:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 176 u1: mmHg rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [21:00:00 01/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.8889 u1: ml/cmH st: NotStopd t0: [21:00:00 01/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [21:00:00 01/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [21:00:00 01/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 01/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.4 st: NotStopd t0: [21:00:00 01/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 01/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 01/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 01/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 18 st: NotStopd t0: [21:00:00 01/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [21:00:00 01/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [21:00:00 01/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 40 u1: L/m st: NotStopd t0: [21:00:00 01/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 01/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [21:00:00 01/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [21:00:00 01/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 01/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 01/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 01/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [21:00:00 01/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:00:00 01/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 200 u1: ml/B st: NotStopd t0: [21:00:00 01/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [21:00:00 01/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 01/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:45:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:45:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:45:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:45:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:45:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:45:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [20:45:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:45:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:45:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:45:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:45:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [20:45:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:45:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:45:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:45:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:45:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [20:45:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:45:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:45:00 01/07/2016] 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: [20:40:00 01/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [20:40:00 01/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [21:10:00 01/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [21:10:00 01/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:10:00 01/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [21:10:00 01/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd
t0: [21:00:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.14226 u1: ... st: NotStopd t0: [21:00:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 10 u1: % st: NotStopd t0: [21:00:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [21:00:00 01/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.6602 u1: kg x m st: NotStopd t0: [21:00:00 01/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.22176 u1: ... st: NotStopd t0: [21:00:00 01/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 94.86 u1: g * m st: NotStopd t0: [21:00:00 01/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.749 u1: g*m/m2 st: NotStopd t0: [21:00:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [21:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 01/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.9121 u1: ... st: NotStopd t0: [21:00:00 01/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 692.41 u1: ... st: NotStopd t0: [21:00:00 01/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1656.05 u1: ... st: NotStopd t0: [21:00:00 01/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [21:00:00 01/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 92.716 u1: ml st: NotStopd t0: [21:00:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [21:00:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [21:00:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 01/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.51 u1: L/min st: NotStopd
t0: [21:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 4.14375 vu: ml t0: [21:00:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 16.575 vu: ml t0: [21:00:00 01/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 5 vu: ml t0: [21:00:00 01/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [21:00:00 01/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 12 vu: ml
t0: [21:00:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 01/07/2016] 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 01/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [21:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd
t0: [21:40:00 01/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd
tf: [20:00:00 02/07/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg tf: [20:00:00 02/07/2016] pt: Unit Dose rt: NG fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg
t0: [20:00:00 01/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 01/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 01/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 01/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [21:30:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:30:00 01/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.14226 u1: ... st: NotStopd t0: [21:30:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [21:30:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [21:30:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:30:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [21:30:00 01/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.04738 u1: kg x m st: NotStopd t0: [21:30:00 01/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.92887 u1: ... st: NotStopd t0: [21:30:00 01/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 86.3328 u1: g * m st: NotStopd t0: [21:30:00 01/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.9833 u1: g*m/m2 st: NotStopd t0: [21:30:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [21:30:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:30:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:30:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:30:00 01/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.4937 u1: ... st: NotStopd t0: [21:30:00 01/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 628.495 u1: ... st: NotStopd t0: [21:30:00 01/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1503.18 u1: ... st: NotStopd t0: [21:30:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 01/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 91.5854 u1: ml st: NotStopd t0: [21:30:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:30:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [21:30:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [21:30:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 01/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.51 u1: L/min st: NotStopd t0: [22:00:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [22:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [22:00:00 01/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [22:00:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [22:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [22:00:00 01/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 01/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 01/07/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 01/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 01/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [22:00:00 01/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 01/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [22:00:00 01/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [22:00:00 01/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [22:00:00 01/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 01/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 01/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:00:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 01/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 01/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 01/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [22:00:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [22:00:00 01/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 01/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 01/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [22:00:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:30:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:30:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:30:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [22:30:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [22:30:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:30:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [22:30:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:30:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:30:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:30:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:30:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:30:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:30:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [22:30:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [22:30:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 8.2875 vu: ml t0: [22:00:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 33.15 vu: ml t0: [22:00:00 01/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [22:00:00 01/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [22:00:00 01/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [22:30:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 4.14375 vu: ml t0: [22:30:00 01/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [22:30:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 16.575 vu: ml t0: [22:30:00 01/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 5 vu: ml
t0: [21:30:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:30:00 01/07/2016] 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: [22:00:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 01/07/2016] 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: [22:30:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 01/07/2016] 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 01/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 01/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.38912 u1: ... st: NotStopd t0: [23:00:00 01/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 3 u1: % st: NotStopd t0: [23:00:00 01/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [23:00:00 01/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 01/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 01/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [23:00:00 01/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.20295 u1: kg x m st: NotStopd t0: [23:00:00 01/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.17573 u1: ... st: NotStopd t0: [23:00:00 01/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.4288 u1: g * m st: NotStopd t0: [23:00:00 01/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.0335 u1: g*m/m2 st: NotStopd t0: [23:00:00 01/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 01/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.9623 u1: ... st: NotStopd t0: [23:00:00 01/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 798.599 u1: ... st: NotStopd t0: [23:00:00 01/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1907.95 u1: ... st: NotStopd t0: [23:00:00 01/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [23:00:00 01/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 01/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74.1558 u1: ml st: NotStopd t0: [23:00:00 01/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 5 u1: % st: NotStopd t0: [23:00:00 01/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 01/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [23:00:00 01/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [23:00:00 01/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 01/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.71 u1: L/min st: NotStopd
t0: [23:00:00 01/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 01/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 01/07/2016] 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: [22:30:00 01/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 190 rs: Manual st: NotStopd
t0: [23:45:00 01/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 172 u1: mmHg rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [23:45:00 01/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 168 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.93 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [23:45:00 01/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [00:20:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [00:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [00:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 02/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [00:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [00:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 02/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [00:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [00:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [00:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [00:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [00:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 02/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [00:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [00:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:00:00 02/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [00:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 02/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [00:00:00 02/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 02/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [00:00:00 02/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 02/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 02/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 02/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [00:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [00:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [00:00:00 02/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 02/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 02/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 02/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 02/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 02/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [00:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [00:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [21:00:00 01/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 01/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 4.14375 vu: ml t0: [23:00:00 01/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 16.575 vu: ml t0: [23:00:00 01/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 5 vu: ml t0: [23:00:00 01/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [23:00:00 01/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [00:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 8.2875 vu: ml t0: [00:00:00 02/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 33.15 vu: ml t0: [00:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [00:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [00:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [00:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 02/07/2016] 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 01/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 01/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 258.438 cv: 258.438 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 328.438 cv: 2787.55 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 328.438 cv: 5987.55 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 1683 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 258.438 cv: 3462.55 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 70 cv: 2525 ap: none t0: [23:00:00 01/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 25 cv: 247 ap: none t0: [23:00:00 01/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 258.438 cv: 3790.33 ap: none
t0: [01:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.19247 u1: ... st: NotStopd t0: [01:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 10 u1: % st: NotStopd t0: [01:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [01:00:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.02782 u1: kg x m st: NotStopd t0: [01:00:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.76569 u1: ... st: NotStopd t0: [01:00:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 131.335 u1: g * m st: NotStopd t0: [01:00:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 54.8117 u1: g*m/m2 st: NotStopd t0: [01:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [01:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 46.4435 u1: ... st: NotStopd t0: [01:00:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 796.855 u1: ... st: NotStopd t0: [01:00:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1905.96 u1: ... st: NotStopd t0: [01:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [01:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 110.58 u1: ml st: NotStopd t0: [01:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [01:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [01:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.63 u1: L/min st: NotStopd
t0: [01:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 8.2875 vu: ml t0: [01:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 19.89 vu: ml t0: [01:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [01:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml t0: [01:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [01:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 02/07/2016] 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: [01:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 192 rs: Manual st: NotStopd t0: [01:30:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [01:30:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.19247 u1: ... st: NotStopd t0: [01:30:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:30:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:30:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:30:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [01:30:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 10.1693 u1: kg x m st: NotStopd t0: [01:30:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.26778 u1: ... st: NotStopd t0: [01:30:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 119.952 u1: g * m st: NotStopd t0: [01:30:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 50.2092 u1: g*m/m2 st: NotStopd t0: [01:30:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:30:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [01:30:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [01:30:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:30:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:30:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.6569 u1: ... st: NotStopd t0: [01:30:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 807.339 u1: ... st: NotStopd t0: [01:30:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1931.03 u1: ... st: NotStopd t0: [01:30:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 89.7647 u1: ml st: NotStopd t0: [01:30:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:30:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [01:30:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [01:30:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.63 u1: L/min st: NotStopd
t0: [01:30:00 02/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 02/07/2016] 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 01/07/2016] id: Previous WeightF el: 0 cu: CCU cg: RRT u1: kg st: NotStopd t0: [01:00:00 02/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [01:00:00 02/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [01:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 02/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 02/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1.7 st: NotStopd t0: [01:00:00 02/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 02/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 02/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 18 st: NotStopd t0: [01:00:00 02/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [01:00:00 02/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [01:00:00 02/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 40 u1: L/m st: NotStopd t0: [01:00:00 02/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 02/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [01:00:00 02/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 02/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:00:00 02/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 02/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 02/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thin st: NotStopd t0: [01:00:00 02/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 02/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [01:00:00 02/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:00:00 02/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 02/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [01:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 02/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 12 u1: % st: NotStopd t0: [02:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [02:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [02:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [02:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [02:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 12.4313 vu: ml t0: [02:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 6.63 vu: ml t0: [02:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [02:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [02:00:00 02/07/2016] tf: [05:00:00 02/07/2016] dt: 180 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [01:30:00 02/07/2016] id: Nitroglycerine-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 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 02/07/2016] 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 02/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 02/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -1.85 cv: -1.85 ap: none t0: [23:00:00 02/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 43.15 cv: 2203.34 ap: none t0: [23:00:00 02/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 43.15 cv: 2803.34 ap: none t0: [23:00:00 02/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 1368 ap: none t0: [23:00:00 02/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -1.85 cv: 1180.34 ap: none t0: [23:00:00 02/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 45 cv: 1623 ap: none t0: [23:00:00 02/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 255 ap: none t0: [23:00:00 02/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -1.85 cv: 4970.67 ap: none
t0: [02:28:00 02/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 193 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd t0: [02:28:00 02/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd
t0: [02:07:00 02/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.8 u1: % rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 195 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.62 u1: /mic l rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 rs: Final st: NotStopd
t0: [02:07:00 02/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [02:07:00 02/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd t0: [02:07:00 02/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd
t0: [01:00:00 02/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [01:00:00 02/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [03:00:00 02/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.97071 u1: ... st: NotStopd t0: [03:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [03:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 02/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 02/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Carafate st: NotStopd t0: [03:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [03:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [03:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [03:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [03:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [03:00:00 02/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [03:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [03:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [03:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [03:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [03:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [03:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [03:00:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.85576 u1: kg x m st: NotStopd t0: [03:00:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.88703 u1: ... st: NotStopd t0: [03:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 02/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [03:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 83.0416 u1: g * m st: NotStopd t0: [03:00:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.728 u1: g*m/m2 st: NotStopd t0: [03:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [03:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [03:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 02/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [03:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [03:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [03:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [03:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [03:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 02/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [03:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [03:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 02/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [03:00:00 02/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 02/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [03:00:00 02/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [03:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 02/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 02/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 02/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 02/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 02/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [03:00:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.9833 u1: ... st: NotStopd t0: [03:00:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 676.056 u1: ... st: NotStopd t0: [03:00:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1616.16 u1: ... st: NotStopd t0: [03:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 85.5422 u1: ml st: NotStopd t0: [03:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [03:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [03:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 196 rs: Manual st: NotStopd t0: [03:00:00 02/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [03:00:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd t0: [03:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [03:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [03:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 24.8625 vu: ml t0: [03:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 6.63 vu: ml t0: [03:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [03:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [03:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [03:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/07/2016] 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: [03:00:00 02/07/2016] 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: [04:00:00 02/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [03:59:00 02/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [03:59:00 02/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [03:59:00 02/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:59:00 02/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [03:59:00 02/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 143 u1: mmHg rs: Final st: NotStopd t0: [03:59:00 02/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd
t0: [03:59:00 02/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 191 rs: Final st: NotStopd
t0: [23:00:00 01/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [23:00:00 01/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 01/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 01/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 01/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 01/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 01/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 01/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [23:00:00 01/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 02/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/07/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 02/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 02/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 02/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 02/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 02/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [00:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [04:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 15 u1: % st: NotStopd t0: [04:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 02/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 02/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/07/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 02/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 02/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 02/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 02/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 02/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [04:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [04:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [04:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [04:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [04:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [04:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [04:00:00 02/07/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Extubated st: NotStopd t0: [04:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 02/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 20 u1: % st: NotStopd t0: [04:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [04:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [04:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 197 rs: Manual st: NotStopd t0: [04:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:15:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:15:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:15:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:15:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:15:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [04:15:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:15:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:15:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [04:15:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:15:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:15:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [04:15:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [04:15:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [04:15:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:30:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:30:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:30:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:30:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [04:30:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [04:30:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:30:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [04:30:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:30:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:30:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [04:30:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [04:30:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [04:30:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/07/2016] tf: [21:00:00 02/07/2016] dt: 1500 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 01/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 01/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 01/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 24.8625 vu: ml t0: [04:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 0 vu: ml t0: [04:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [04:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8 vu: ml t0: [04:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [04:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [04:00:00 02/07/2016] 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: [04:00:00 02/07/2016] 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: [04:15:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 02/07/2016] 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: [04:15:00 02/07/2016] 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: [04:30:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 02/07/2016] 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: [04:30:00 02/07/2016] 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: [04:00:00 02/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 02/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 02/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [04:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 0.4 u1: lpm st: NotStopd t0: [04:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [05:00:00 02/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [05:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [05:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [05:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [05:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [05:00:00 02/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [05:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [05:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [05:00:00 02/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 02/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [06:00:00 02/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [06:00:00 02/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [06:00:00 02/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [06:00:00 02/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [06:00:00 02/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [06:00:00 02/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [06:00:00 02/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [06:00:00 02/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [06:00:00 02/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [06:00:00 02/07/2016] id: IV #3 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [06:00:00 02/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [06:00:00 02/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 16 gauge st: NotStopd t0: [06:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 02/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 02/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 02/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 02/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 02/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd
t0: [05:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 25.8984 vu: ml t0: [05:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 0 vu: ml t0: [05:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [05:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.5 vu: ml t0: [05:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [05:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [05:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/07/2016] 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: [05:00:00 02/07/2016] 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: [06:00:00 02/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 02/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 02/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 02/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 02/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 02/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 02/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [06:01:00 02/07/2016] id: IV #3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:01:00 02/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:01:00 02/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:01:00 02/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [06:06:00 02/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [06:06:00 02/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [06:06:00 02/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [06:06:00 02/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [06:06:00 02/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [06:06:00 02/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [05:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 184 rs: Manual st: NotStopd t0: [06:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.51464 u1: ... st: NotStopd t0: [06:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [06:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [06:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 1 u1: % st: NotStopd t0: [06:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [06:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [06:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [06:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [06:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Packing v2: Intact st: NotStopd t0: [06:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [06:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [06:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [06:00:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 10.0531 u1: kg x m st: NotStopd t0: [06:00:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.22594 u1: ... st: NotStopd t0: [06:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 02/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [06:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 126.861 u1: g * m st: NotStopd t0: [06:00:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 53.1381 u1: g*m/m2 st: NotStopd t0: [06:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [06:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 02/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [06:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [06:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [06:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [06:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 02/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [06:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [06:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [06:00:00 02/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 02/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [06:00:00 02/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [06:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 02/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 02/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 44.3515 u1: ... st: NotStopd t0: [06:00:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 666.667 u1: ... st: NotStopd t0: [06:00:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1595.44 u1: ... st: NotStopd t0: [06:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [06:00:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 106.329 u1: ml st: NotStopd t0: [06:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 02/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 12 u1: % st: NotStopd t0: [06:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [06:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [06:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [06:00:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.4 u1: L/min st: NotStopd t0: [06:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [06:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 29.0063 vu: ml t0: [06:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 0 vu: ml t0: [06:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [06:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8 vu: ml t0: [06:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [06:00:00 02/07/2016] tf: [08:00:00 02/07/2016] dt: 120 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [06:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/07/2016] 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: [06:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [06:35:00 02/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [06:35:00 02/07/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [06:35:00 02/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 63 rs: Final st: NotStopd
t0: [06:30:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:30:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:30:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.51883 u1: ... st: NotStopd t0: [06:30:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:30:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:30:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:30:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:30:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [06:30:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.83634 u1: kg x m st: NotStopd t0: [06:30:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.10042 u1: ... st: NotStopd t0: [06:30:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 123.978 u1: g * m st: NotStopd t0: [06:30:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 51.8828 u1: g*m/m2 st: NotStopd t0: [06:30:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:30:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:30:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:30:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:30:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:30:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 44.3515 u1: ... st: NotStopd t0: [06:30:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 637.337 u1: ... st: NotStopd t0: [06:30:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1522.73 u1: ... st: NotStopd t0: [06:30:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:30:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 106.456 u1: ml st: NotStopd t0: [06:30:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [06:30:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [06:30:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 8.41 u1: L/min st: NotStopd t0: [06:35:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.71967 u1: ... st: NotStopd t0: [06:35:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1970.59 u1: ... st: NotStopd t0: [06:35:00 02/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 6.47916 u1: L/min st: NotStopd t0: [06:45:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:45:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [06:45:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.71967 u1: ... st: NotStopd t0: [06:45:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:45:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:45:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:45:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:45:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:45:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:45:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [06:45:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [06:45:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:45:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:45:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:45:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:45:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [06:45:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1911.76 u1: ... st: NotStopd t0: [06:45:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:45:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:45:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [06:45:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [06:45:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 02/07/2016] 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: [06:30:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [06:45:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 02/07/2016] 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: [06:45:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [06:00:00 04/07/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 7 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [07:00:00 02/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [07:00:00 02/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 17 u1: % st: NotStopd t0: [07:00:00 02/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 22cm v2: Lip st: NotStopd t0: [07:00:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [07:00:00 02/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [07:00:00 02/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [07:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [07:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [07:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [07:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [07:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 0.6 u1: lpm st: NotStopd t0: [07:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [07:00:00 02/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [07:00:00 02/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [07:00:00 02/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [07:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [07:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 02/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 18 u1: % st: NotStopd t0: [07:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [07:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [07:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [07:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 39.3656 vu: ml t0: [07:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 0 vu: ml t0: [07:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [07:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [07:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [07:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/07/2016] 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: [07:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Manual st: NotStopd
t0: [08:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 0.5 u1: lpm st: NotStopd t0: [08:00:00 02/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 02/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.5 u1: kg st: NotStopd t0: [08:00:00 02/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.55944 u1: m2 st: NotStopd t0: [08:00:00 02/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.81226 u1: m2 st: NotStopd t0: [08:00:00 02/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0.4 u1: kg st: NotStopd t0: [08:00:00 02/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd
t0: [08:00:00 02/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 02/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 02/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [08:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 02/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 7 u1: % st: NotStopd t0: [08:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/07/2016] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [08:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [08:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [08:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [08:00:00 02/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Movement/Turning st: NotStopd t0: [08:00:00 02/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [08:00:00 02/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [08:00:00 02/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [08:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [08:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [08:00:00 02/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 02/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 10 u1: % st: NotStopd t0: [08:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [08:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [08:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 02/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [08:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [08:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [08:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/07/2016] 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: [08:30:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:30:00 02/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:45:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:45:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [08:45:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.25105 u1: ... st: NotStopd t0: [08:45:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:45:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:45:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:45:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:2 st: NotStopd t0: [08:45:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.71406 u1: kg x m st: NotStopd t0: [08:45:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.22176 u1: ... st: NotStopd t0: [08:45:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 97.2944 u1: g * m st: NotStopd t0: [08:45:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.5858 u1: g*m/m2 st: NotStopd t0: [08:45:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [08:45:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:45:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:45:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:45:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [08:45:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:45:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.0042 u1: ... st: NotStopd t0: [08:45:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 731.017 u1: ... st: NotStopd t0: [08:45:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1747.69 u1: ... st: NotStopd t0: [08:45:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [08:45:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 98.3544 u1: ml st: NotStopd t0: [08:45:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [08:45:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [08:45:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:45:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.77 u1: L/min st: NotStopd t0: [08:50:00 02/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [08:55:00 02/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [09:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [09:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [09:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [09:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [09:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [09:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [09:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [09:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [09:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [09:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [08:45:00 02/07/2016] id: D5W 250.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [09:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 82.875 vu: ml t0: [09:00:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 198 vo: 0 vu: ml t0: [09:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 20 vu: ml t0: [09:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20.3333 vu: ml t0: [09:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [07:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [08:45:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 02/07/2016] 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: [08:45:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip t0: [09:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/07/2016] 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: [09:00:00 02/07/2016] 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: [09:01:00 02/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 198 vo: 0 st: D/C'd
t0: [09:20:00 02/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [10:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.24268 u1: ... st: NotStopd t0: [10:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [10:00:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.1158 u1: kg x m st: NotStopd t0: [10:00:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.38912 u1: ... st: NotStopd t0: [10:00:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 99.484 u1: g * m st: NotStopd t0: [10:00:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.4226 u1: g*m/m2 st: NotStopd t0: [10:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [10:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [10:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.749 u1: ... st: NotStopd t0: [10:00:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 743.226 u1: ... st: NotStopd t0: [10:00:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1777.78 u1: ... st: NotStopd t0: [10:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [10:00:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 94.5122 u1: ml st: NotStopd t0: [10:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [10:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [10:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Manual st: NotStopd t0: [10:00:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.75 u1: L/min st: NotStopd
t0: [10:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [10:00:00 02/07/2016] id: D5W 250.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [10:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 11 vu: ml t0: [10:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [10:00:00 02/07/2016] tf: [02:00:00 03/07/2016] dt: 960 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [10:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [09:00:00 03/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Sodium Bicarbonate v1: 50 u1: mEq
t0: [09:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [09:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [09:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [09:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 0.6 u1: lpm st: NotStopd t0: [10:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [10:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [10:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [10:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 0.6 u1: lpm st: NotStopd
t0: [10:02:00 02/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [10:02:00 02/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.7492 u1: ml/dl st: NotStopd t0: [10:02:00 02/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 1085 u1: ml/min st: NotStopd t0: [10:02:00 02/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 453.6 u1: ml/m/m st: NotStopd t0: [10:02:00 02/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 1085 u1: ml/min st: NotStopd t0: [10:02:00 02/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 453.975 u1: ml/m/m st: NotStopd t0: [10:02:00 02/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 1085 u1: ml/min st: NotStopd t0: [10:02:00 02/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 453.975 u1: ml/m/m st: NotStopd t0: [10:02:00 02/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [10:02:00 02/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 91 u1: % rs: Final st: NotStopd
t0: [10:00:00 02/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.3 u1: % rs: Final st: NotStopd
t0: [11:00:00 02/07/2016] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 02/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [10:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:30:00 02/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [10:30:00 02/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:30:00 02/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: RN v1: 7 u1: % st: NotStopd t0: [11:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [11:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [11:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/07/2016] id: IABP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [11:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [11:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [11:00:00 02/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 02/07/2016] id: BAEDP el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [11:00:00 02/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: RN v1: 15 u1: % st: NotStopd t0: [11:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [11:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [11:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 02/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [11:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [11:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [11:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 43 vu: ml t0: [11:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [11:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 02/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 02/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 02/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 02/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [11:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [11:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [11:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [11:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [11:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [11:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [11:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [11:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [11:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [11:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [11:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [11:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [11:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [11:00:00 02/07/2016] id: LUE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [11:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [11:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [11:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [11:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [11:00:00 02/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [11:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [11:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [11:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [11:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [11:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [11:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [11:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [11:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [11:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [11:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [11:00:00 02/07/2016] id: RLE Temp/Color el: 0 cu: CSRU cg: RN v1: Warm v2: Normal st: NotStopd t0: [11:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [11:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [11:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [11:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [11:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 02/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [11:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd t0: [11:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [11:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [11:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [11:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [11:00:00 02/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [11:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:30:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:30:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [11:30:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [11:30:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [11:30:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [11:30:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:30:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:30:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [11:30:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:30:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:30:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:30:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [11:30:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [11:30:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [11:45:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:45:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:45:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:45:00 02/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [11:45:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [11:45:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:45:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:45:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [11:45:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [11:45:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [11:45:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [11:45:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:45:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [11:45:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:45:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:45:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [11:45:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [11:45:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/07/2016] id: IV #2 Reason DC'D el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [12:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:3 st: NotStopd t0: [12:00:00 02/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 02/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [12:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [12:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [12:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [12:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [12:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [12:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [12:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [12:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [12:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [12:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 195 vu: ml
t0: [11:45:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:45:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip t0: [12:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [12:01:00 02/07/2016] id: IV #2 Reason DC'D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:01:00 02/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:01:00 02/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [12:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 104 rs: Manual st: NotStopd
t0: [13:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [13:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [13:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [13:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [13:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [13:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [13:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [13:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [13:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [13:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [13:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [13:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 49.725 vu: ml t0: [13:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [13:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [13:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [13:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
tf: [12:00:00 03/07/2016] pt: Unit Dose rt: IM fr: ONCE fs: 13 dn: 1 m1: Ketorolac v1: 30 u1: mg
t0: [11:00:00 02/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [13:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 02/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 02/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 02/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [13:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 101 rs: Manual st: NotStopd
t0: [14:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN v1: 1:1 st: NotStopd t0: [14:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [14:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [14:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [14:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:15:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:15:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [14:15:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:15:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [14:15:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:15:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:15:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:15:00 02/07/2016] id: IABP setting el: 0 cu: CSRU cg: RN st: NotStopd t0: [14:15:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [14:15:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:15:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:15:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:15:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [14:15:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:15:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:15:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [14:15:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [14:15:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:15:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 98 rs: Manual st: NotStopd t0: [14:30:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [14:30:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [14:30:00 02/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd
t0: [14:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 49.725 vu: ml t0: [14:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [14:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [14:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [14:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [14:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip t0: [14:15:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:30:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [14:45:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [14:45:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [14:45:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd
t0: [15:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [15:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [15:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [15:30:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.94142 u1: ... st: NotStopd t0: [15:30:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:30:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [15:30:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 02/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:30:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.22406 u1: kg x m st: NotStopd t0: [15:30:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.84937 u1: ... st: NotStopd t0: [15:30:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 108.691 u1: g * m st: NotStopd t0: [15:30:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45.6067 u1: g*m/m2 st: NotStopd t0: [15:30:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:30:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:30:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:30:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [15:30:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:30:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 46.4435 u1: ... st: NotStopd t0: [15:30:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 560.51 u1: ... st: NotStopd t0: [15:30:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1340.1 u1: ... st: NotStopd t0: [15:30:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:30:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 110.824 u1: ml st: NotStopd t0: [15:30:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:30:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [15:30:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [15:30:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 120 rs: Manual st: NotStopd t0: [15:30:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.42 u1: L/min st: NotStopd
t0: [15:30:00 02/07/2016] id: D5W 250.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml
t0: [15:30:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [15:30:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [15:30:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:30:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:30:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:30:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:30:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [15:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 43.5094 vu: ml t0: [15:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [15:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml
t0: [23:00:00 02/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 600 ap: none
t0: [15:45:00 02/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [15:45:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:45:00 02/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [15:45:00 02/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Burning st: NotStopd
t0: [15:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [15:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [15:15:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:15:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [15:15:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [15:30:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [15:30:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [15:30:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd
t0: [15:45:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [15:45:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [15:45:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:45:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [15:45:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [15:45:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [15:45:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [15:45:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd
t0: [16:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [16:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [16:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [16:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [16:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [16:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [16:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [16:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [16:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [16:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [16:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [16:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [16:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:43:00 02/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.6634 u1: ml/dl st: NotStopd t0: [16:43:00 02/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [16:43:00 02/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [17:00:00 02/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 02/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 02/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 02/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [17:00:00 02/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [17:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [17:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 26 vu: ml
t0: [17:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [17:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [17:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [17:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [16:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [16:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [16:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [16:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [16:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [16:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 02/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [17:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [17:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd
t0: [16:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd
t0: [09:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN st: NotStopd t0: [10:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN st: NotStopd t0: [11:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN st: NotStopd t0: [13:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN st: NotStopd t0: [16:00:00 02/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN st: NotStopd
t0: [18:00:00 02/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 02/07/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:31:00 02/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.9 u1: % rs: Final st: NotStopd
t0: [18:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [18:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [18:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [18:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [18:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [18:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [18:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [18:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [18:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 82 rs: Manual st: NotStopd
t0: [18:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [18:00:00 02/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [18:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12 vu: ml t0: [18:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 33 vu: ml t0: [18:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [18:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [14:15:00 02/07/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [14:15:00 02/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: IABP v2: Left Femoral st: NotStopd t0: [14:15:00 02/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [18:00:00 02/07/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 19 st: NotStopd t0: [18:00:00 02/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [18:00:00 02/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd
t0: [18:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [18:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [19:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [19:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [19:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [19:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [19:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 69 rs: Manual st: NotStopd
t0: [19:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [19:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [19:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 26 vu: ml
t0: [19:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/07/2016] 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
t0: [08:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [08:00:00 02/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 02/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 02/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [11:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [11:00:00 02/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [11:00:00 02/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [11:00:00 02/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [16:00:00 02/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 02/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 02/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [18:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [19:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [19:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [19:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [19:00:00 02/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [19:00:00 02/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 02/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd
t0: [20:00:00 02/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 02/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 02/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [20:00:00 02/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 02/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 02/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [20:00:00 02/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 02/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 02/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 02/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 02/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [20:00:00 02/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 02/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [20:00:00 02/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 02/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 02/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 02/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 02/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 02/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 02/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 02/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 02/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [20:00:00 02/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 02/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 02/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 02/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [20:00:00 02/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [20:00:00 02/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 02/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 02/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 02/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [20:00:00 02/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Intermittent st: NotStopd t0: [20:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [20:00:00 02/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [20:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [20:00:00 02/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [20:00:00 02/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 02/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 02/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [20:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [20:00:00 02/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 02/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 02/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 64 rs: Manual st: NotStopd t0: [20:00:00 02/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 02/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 02/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 02/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 02/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [21:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [21:00:00 02/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.1841 u1: ... st: NotStopd t0: [21:00:00 02/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [21:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 02/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [21:00:00 02/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 11.152 u1: kg x m st: NotStopd t0: [21:00:00 02/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.68619 u1: ... st: NotStopd t0: [21:00:00 02/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 132.709 u1: g * m st: NotStopd t0: [21:00:00 02/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 55.6485 u1: g*m/m2 st: NotStopd t0: [21:00:00 02/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [21:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 02/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 02/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [21:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 02/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 49.7908 u1: ... st: NotStopd t0: [21:00:00 02/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 512 u1: ... st: NotStopd t0: [21:00:00 02/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1224.88 u1: ... st: NotStopd t0: [21:00:00 02/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 02/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 119.048 u1: ml st: NotStopd t0: [21:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [21:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [21:00:00 02/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 02/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [21:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 02/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 10 u1: L/min st: NotStopd
t0: [20:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [21:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 66.3 vu: ml t0: [21:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 20 vu: ml t0: [21:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [20:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/07/2016] 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 t0: [21:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/07/2016] 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
tf: [19:00:00 02/07/2016] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 20 u1: mg tf: [01:00:00 03/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [22:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [22:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [22:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [22:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [22:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [22:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [22:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [22:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [22:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [22:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [22:00:00 02/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [22:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/07/2016] 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
t0: [23:00:00 02/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 02/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 02/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 02/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 02/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [23:00:00 02/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 02/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 02/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [23:00:00 02/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 02/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 02/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 02/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [23:00:00 02/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [23:00:00 02/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [23:00:00 02/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [23:00:00 02/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 02/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 02/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 02/07/2016] 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
t0: [23:00:00 02/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [23:00:00 02/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 02/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [00:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [00:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [01:00:00 03/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 03/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [01:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 03/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 03/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 03/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 03/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: PO Med st: NotStopd t0: [01:00:00 03/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [01:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:00:00 03/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [01:00:00 03/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [01:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [01:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [01:00:00 03/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 03/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 03/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [01:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [00:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [00:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [01:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [01:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [01:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [01:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [00:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/07/2016] 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 t0: [01:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/07/2016] 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
t0: [23:00:00 03/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 890 ap: none
t0: [01:30:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [01:30:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:30:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [01:30:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:30:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:30:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:30:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [01:30:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:30:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [01:30:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [01:30:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [01:30:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [02:00:00 03/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.07113 u1: ... st: NotStopd t0: [02:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 03/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 12.5712 u1: kg x m st: NotStopd t0: [02:00:00 03/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.27197 u1: ... st: NotStopd t0: [02:00:00 03/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 162.792 u1: g * m st: NotStopd t0: [02:00:00 03/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 68.2008 u1: g*m/m2 st: NotStopd t0: [02:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [02:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [02:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [02:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 03/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 52.7197 u1: ... st: NotStopd t0: [02:00:00 03/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 443.988 u1: ... st: NotStopd t0: [02:00:00 03/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1061.43 u1: ... st: NotStopd t0: [02:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 03/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 126.364 u1: ml st: NotStopd t0: [02:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [02:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [02:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.73 u1: L/min st: NotStopd t0: [02:15:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:15:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:15:00 03/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.07113 u1: ... st: NotStopd t0: [02:15:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:15:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:15:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:15:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:15:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:15:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:15:00 03/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 11.7772 u1: kg x m st: NotStopd t0: [02:15:00 03/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.93724 u1: ... st: NotStopd t0: [02:15:00 03/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 148.879 u1: g * m st: NotStopd t0: [02:15:00 03/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 62.3431 u1: g*m/m2 st: NotStopd t0: [02:15:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [02:15:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:15:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:15:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:15:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [02:15:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:15:00 03/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 51.4644 u1: ... st: NotStopd t0: [02:15:00 03/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 641.316 u1: ... st: NotStopd t0: [02:15:00 03/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1533.17 u1: ... st: NotStopd t0: [02:15:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:15:00 03/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 123.165 u1: ml st: NotStopd t0: [02:15:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:15:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [02:15:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [02:15:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:15:00 03/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 9.73 u1: L/min st: NotStopd
t0: [02:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 35.2219 vu: ml t0: [02:00:00 03/07/2016] id: D5W 250.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [02:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [02:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [02:00:00 03/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [01:30:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 03/07/2016] 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 t0: [02:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/07/2016] 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 t0: [02:15:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:15:00 03/07/2016] 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
t0: [02:00:00 03/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [02:00:00 03/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [03:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [03:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [03:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [03:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 03/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 03/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 03/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 03/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [03:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml t0: [04:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 97.3781 vu: ml t0: [04:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 20 vu: ml t0: [04:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 225 vu: ml
t0: [02:00:00 03/07/2016] tf: [16:39:00 04/07/2016] dt: 2319 id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/07/2016] 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
t0: [02:00:00 03/07/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [02:00:00 03/07/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [02:00:00 03/07/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [02:00:00 03/07/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/07/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [02:00:00 03/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [02:00:00 03/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [02:00:00 03/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [02:00:00 03/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [02:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [02:00:00 03/07/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [02:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 03/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [02:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [02:00:00 03/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [02:00:00 03/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 03/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 03/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [03:00:00 03/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 03/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [03:00:00 03/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [03:00:00 03/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [03:00:00 03/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 03/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [03:00:00 03/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [03:00:00 03/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [03:00:00 03/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 03/07/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [03:00:00 03/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Changed st: NotStopd t0: [03:00:00 03/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [03:00:00 03/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [03:00:00 03/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [03:00:00 03/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 03/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 03/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 03/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [03:00:00 03/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [03:00:00 03/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 03/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 03/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [03:00:00 03/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [03:00:00 03/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [03:00:00 03/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [03:00:00 03/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [03:00:00 03/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 03/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [03:00:00 03/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 03/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [03:00:00 03/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [03:00:00 03/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [03:00:00 03/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [03:00:00 03/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 03/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 03/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 03/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 03/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 03/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 03/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [03:00:00 03/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 03/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 03/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [03:00:00 03/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [03:00:00 03/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 03/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [03:00:00 03/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 03/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [03:00:00 03/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [03:00:00 03/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 18 u1: number st: NotStopd t0: [03:00:00 03/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [03:00:00 03/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 03/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [03:00:00 03/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [03:00:00 03/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 03/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 03/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 03/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 03/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [04:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [04:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [04:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [04:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [04:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/07/2016] 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
t0: [05:51:00 03/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [05:51:00 03/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 232 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [05:51:00 03/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd
t0: [05:33:00 03/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 161 rs: Final st: NotStopd
t0: [05:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [05:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [05:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [05:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [05:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 03/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.51883 u1: ... st: NotStopd t0: [06:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 03/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 03/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 03/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 03/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 11.1629 u1: kg x m st: NotStopd t0: [06:00:00 03/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.68619 u1: ... st: NotStopd t0: [06:00:00 03/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 134.368 u1: g * m st: NotStopd t0: [06:00:00 03/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 56.0669 u1: g*m/m2 st: NotStopd t0: [06:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [06:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 03/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 03/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [06:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [06:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 03/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 54.3933 u1: ... st: NotStopd t0: [06:00:00 03/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 488.889 u1: ... st: NotStopd t0: [06:00:00 03/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1168.14 u1: ... st: NotStopd t0: [06:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 03/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 130.12 u1: ml st: NotStopd t0: [06:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [06:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [06:00:00 03/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 03/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [06:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 03/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 10.8 u1: L/min st: NotStopd
t0: [05:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 49.725 vu: ml t0: [05:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [05:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [05:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [05:00:00 03/07/2016] tf: [09:00:00 03/07/2016] dt: 240 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [06:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 49.725 vu: ml t0: [06:00:00 03/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [06:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [06:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/07/2016] 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 t0: [06:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/07/2016] 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
t0: [05:33:00 03/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 219 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.9 u1: mEq/L rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [05:33:00 03/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [05:33:00 03/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd
t0: [00:00:00 03/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 189 rs: Manual st: NotStopd t0: [04:00:00 03/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [05:00:00 03/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 154 rs: Manual st: NotStopd t0: [06:00:00 03/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [06:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 03/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [06:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [06:00:00 03/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [06:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 03/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [07:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [07:00:00 03/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [07:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [07:00:00 03/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [07:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [07:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [07:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 03/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [07:00:00 03/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [07:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 49.725 vu: ml t0: [07:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [07:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [07:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [07:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 03/07/2016] id: Neosynephrine-k 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 03/07/2016] 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
t0: [07:30:00 03/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [07:30:00 03/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Anterior st: NotStopd t0: [07:30:00 03/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [07:30:00 03/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [07:30:00 03/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [07:30:00 03/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [07:30:00 03/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [07:30:00 03/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:30:00 03/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [07:30:00 03/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Obese st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [07:30:00 03/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 03/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [07:30:00 03/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [07:30:00 03/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [07:30:00 03/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [07:30:00 03/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [07:30:00 03/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [07:30:00 03/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [07:30:00 03/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [07:30:00 03/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [07:30:00 03/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 03/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:30:00 03/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [07:30:00 03/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [07:30:00 03/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [07:30:00 03/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [07:30:00 03/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [07:30:00 03/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [07:30:00 03/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [07:30:00 03/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [07:30:00 03/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [07:30:00 03/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [07:30:00 03/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [07:30:00 03/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [07:30:00 03/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [07:30:00 03/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [07:30:00 03/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [07:30:00 03/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [07:30:00 03/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [07:30:00 03/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:30:00 03/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [07:30:00 03/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [07:30:00 03/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [07:30:00 03/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [07:30:00 03/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [07:30:00 03/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [07:30:00 03/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [07:30:00 03/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [07:30:00 03/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [07:30:00 03/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [07:30:00 03/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [07:30:00 03/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [07:30:00 03/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 03/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:00:00 03/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [08:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [08:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [08:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd
t0: [08:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 49.725 vu: ml t0: [08:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [08:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [08:00:00 03/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [08:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/07/2016] 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
t0: [23:00:00 03/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 115 ap: none
t0: [08:00:00 03/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 03/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 03/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 03/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [08:00:00 03/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [08:15:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd
t0: [09:00:00 03/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 03/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 03/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 03/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 03/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [07:30:00 03/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 03/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 03/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 03/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:30:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:30:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:30:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:30:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [08:30:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:30:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 90 u1: % st: NotStopd t0: [08:30:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [09:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [09:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [09:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [09:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 03/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vu: ml t0: [09:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 45.5812 vu: ml t0: [09:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [09:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [09:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [08:30:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 03/07/2016] 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 t0: [09:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/07/2016] 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
tf: [09:00:00 03/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg
t0: [10:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [10:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 03/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [10:45:00 03/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:45:00 03/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [11:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 66.3 vu: ml t0: [11:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 20 vu: ml t0: [11:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [11:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [10:00:00 03/07/2016] id: Nitroglycerine-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 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/07/2016] 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 t0: [11:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/07/2016] 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
t0: [12:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [12:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [12:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [12:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [12:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/07/2016] 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
t0: [13:00:00 03/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [13:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [13:00:00 03/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [13:00:00 03/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [13:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [13:00:00 03/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [13:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [13:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 03/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [13:00:00 03/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [13:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 33.15 vu: ml t0: [13:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [13:00:00 03/07/2016] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [13:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [13:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/07/2016] id: Neosynephrine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/07/2016] 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
t0: [13:00:00 03/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 147 rs: Manual st: NotStopd
t0: [08:00:00 03/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 03/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/07/2016] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [08:00:00 03/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 03/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 03/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 03/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [13:00:00 03/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [13:00:00 03/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [13:00:00 03/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [13:00:00 03/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [13:00:00 03/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 03/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [13:00:00 03/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [13:00:00 03/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [13:00:00 03/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:00:00 03/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [13:00:00 03/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [13:00:00 03/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:00:00 03/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [13:00:00 03/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 03/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [13:00:00 03/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [13:00:00 03/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [13:00:00 03/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [13:00:00 03/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [13:00:00 03/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [13:00:00 03/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [13:00:00 03/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [13:00:00 03/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [13:00:00 03/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 03/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 03/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [13:00:00 03/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [13:00:00 03/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [13:00:00 03/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [13:00:00 03/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [13:00:00 03/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [13:00:00 03/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [13:00:00 03/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 03/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [13:00:00 03/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [13:00:00 03/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 03/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 03/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [13:00:00 03/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [13:30:00 03/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 03/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [13:30:00 03/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:30:00 03/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [13:30:00 03/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: At Rest st: NotStopd t0: [13:30:00 03/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [13:30:00 03/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [13:30:00 03/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Burning st: NotStopd
t0: [14:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [14:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 03/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [14:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [14:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [14:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [14:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 275 vu: ml
t0: [14:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 03/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 03/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 03/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [15:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [15:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [15:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:25:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:25:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:25:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:25:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:25:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:25:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:25:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:25:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:25:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:25:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [15:25:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:25:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [15:25:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 03/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd
t0: [15:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:25:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 03/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd
t0: [15:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 41.4375 vu: ml t0: [15:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [15:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml t0: [15:30:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 245 vu: ml
t0: [16:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [16:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 03/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [16:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 36.6031 vu: ml t0: [16:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [16:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [16:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 03/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 03/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [16:00:00 03/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.1 u1: Deg. F st: NotStopd
t0: [16:51:00 03/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [16:51:00 03/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: no data rs: Final st: NotStopd t0: [16:51:00 03/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [16:51:00 03/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [16:51:00 03/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [16:51:00 03/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 291 rs: Final st: NotStopd t0: [16:51:00 03/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.07 rs: Final st: NotStopd t0: [16:51:00 03/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [17:00:00 03/07/2016] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: Diastolic Unloading el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: IABP Mean el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: IABP setting el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: PCWP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: Assisted Systole el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: Augmented Diastole el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: SVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: BAEDP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: Systolic Unloading el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 03/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:00:00 03/07/2016] id: D5W 250.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [13:00:00 03/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [17:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [17:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [17:00:00 03/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 03/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [17:00:00 03/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 03/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [17:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [17:00:00 03/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 03/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 03/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [17:00:00 03/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [17:00:00 03/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [17:00:00 03/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [17:00:00 03/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [17:00:00 03/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 03/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 03/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [17:00:00 03/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [17:00:00 03/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [17:00:00 03/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 03/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:00:00 03/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 03/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [17:00:00 03/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [17:00:00 03/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 03/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [17:00:00 03/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [17:00:00 03/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [17:00:00 03/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [17:00:00 03/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [17:00:00 03/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [17:00:00 03/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [17:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 03/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [17:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [17:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [17:00:00 03/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [17:00:00 03/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 03/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [17:00:00 03/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 03/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 03/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [17:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 03/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [17:00:00 03/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [17:00:00 03/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 03/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [17:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 03/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [17:00:00 03/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [17:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 24.8625 vu: ml t0: [17:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [17:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 285 vu: ml
t0: [17:00:00 03/07/2016] id: Nitroglycerine-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 03/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 03/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 80 cv: 3545 ap: none t0: [23:00:00 03/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 80 cv: 3660 ap: none
t0: [17:00:00 03/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:42:00 03/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24.5 u1: % rs: Final st: NotStopd
t0: [18:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [18:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [18:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [18:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [18:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [18:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 03/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [19:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 03/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [19:00:00 03/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [19:00:00 03/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [19:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [19:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [19:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 03/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [19:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [19:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [19:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [20:00:00 03/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 03/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 03/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [20:00:00 03/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 03/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 03/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 03/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 03/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 03/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 03/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 03/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [20:00:00 03/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 03/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 03/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 03/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [20:00:00 03/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 03/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 03/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 03/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 03/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 03/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 03/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 03/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [20:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 03/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [20:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [20:00:00 03/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [20:00:00 03/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 03/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 03/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 03/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 03/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 03/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 03/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 03/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 03/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 03/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [20:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [20:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [20:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [20:00:00 03/07/2016] id: Nitroglycerine-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 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [21:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [21:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 14.9175 vu: ml t0: [21:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [21:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [21:00:00 03/07/2016] id: Nitroglycerine-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 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [22:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 14.9175 vu: ml t0: [22:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [22:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [22:00:00 03/07/2016] id: Nitroglycerine-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 03/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 274 rs: Manual st: NotStopd
t0: [22:15:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:15:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:15:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:15:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:15:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:15:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:15:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:15:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [22:15:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:15:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:15:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 03/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 03/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 03/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 03/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 03/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [23:00:00 03/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [23:00:00 03/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [23:00:00 03/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [23:00:00 03/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 03/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [23:00:00 03/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 03/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 22.7906 vu: ml t0: [23:00:00 03/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [23:00:00 03/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [23:00:00 03/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -47.2094 cv: -47.2094 ap: none t0: [23:00:00 03/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 32.7906 cv: 1762.67 ap: none t0: [23:00:00 03/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 32.7906 cv: 2652.67 ap: none t0: [23:00:00 03/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -47.2094 cv: -1007.33 ap: none t0: [23:00:00 03/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -47.2094 cv: 3963.34 ap: none
t0: [00:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [00:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 24.8625 vu: ml t0: [00:00:00 04/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [00:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [00:05:00 04/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [00:05:00 04/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [00:05:00 04/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [00:05:00 04/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [00:05:00 04/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [00:05:00 04/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [00:11:00 04/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.9 rs: Final st: NotStopd t0: [00:11:00 04/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24.1 u1: % rs: Final st: NotStopd t0: [00:11:00 04/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [00:11:00 04/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 174 rs: Final st: NotStopd t0: [00:11:00 04/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.78 u1: /mic l rs: Final st: NotStopd t0: [00:11:00 04/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.9 rs: Final st: NotStopd
t0: [00:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [00:15:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:15:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:15:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:15:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [00:15:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:15:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:15:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 164 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:15:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:15:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:15:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [00:15:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:15:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [00:15:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [01:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [01:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [01:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [01:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 39.3656 vu: ml t0: [01:00:00 04/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 10 vu: ml t0: [01:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 850 vu: ml
t0: [00:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [17:00:00 04/07/2016] pt: Unit Dose rt: IV fr: Q4-6H:PRN m1: Hydralazine HCl v1: 10 u1: mg
t0: [01:30:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:30:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [01:30:00 04/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [01:30:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:30:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 04/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:30:00 04/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [01:30:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [01:30:00 04/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Venti Mask st: NotStopd t0: [01:30:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [01:30:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:30:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:30:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:30:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [01:30:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:30:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [01:30:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:30:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 20.7188 vu: ml t0: [01:30:00 04/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 5 vu: ml t0: [01:30:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [01:00:00 04/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [01:00:00 04/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [01:45:00 04/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [01:45:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [01:45:00 04/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Venti Mask st: NotStopd t0: [01:45:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [02:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 04/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [02:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 04/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Venti Mask st: NotStopd t0: [02:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [02:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [02:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 234 rs: Manual st: NotStopd t0: [02:30:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:30:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:30:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:30:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 04/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:30:00 04/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [02:30:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:30:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:30:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:30:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [02:30:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:30:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:30:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 20.7188 vu: ml t0: [02:00:00 04/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vo: 5 vu: ml t0: [02:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [02:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/07/2016] 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: [02:30:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 04/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 04/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Venti Mask st: NotStopd t0: [03:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [03:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [03:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/07/2016] tf: [16:39:00 04/07/2016] dt: 819 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 29.0063 vu: ml t0: [03:00:00 04/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 04/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 108 vu: ml st: Stopped t0: [03:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [03:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/07/2016] 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: [03:00:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 190 rs: Manual st: NotStopd
t0: [03:30:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:30:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:30:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:30:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 04/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:30:00 04/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [03:30:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:30:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:30:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:30:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [03:30:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:30:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:30:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 04/07/2016] 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: [03:41:00 04/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:41:00 04/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [03:41:00 04/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [03:41:00 04/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 04/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [03:41:00 04/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:41:00 04/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd
t0: [03:37:00 04/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 23.2 u1: % rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 173 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.64 u1: /mic l rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 rs: Final st: NotStopd
t0: [03:37:00 04/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 27.2 rs: Final st: NotStopd
t0: [19:00:00 03/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 03/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 03/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 04/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 04/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [00:00:00 04/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 04/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 04/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 04/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 04/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 04/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 04/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [00:00:00 04/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [00:00:00 04/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 04/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 04/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 04/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [00:00:00 04/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 04/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 04/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 04/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 04/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 04/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 04/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 04/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 04/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:00:00 04/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 04/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [00:00:00 04/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 04/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [00:00:00 04/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [00:00:00 04/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 04/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 04/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 04/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 04/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 04/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 04/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 04/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 04/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 04/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [01:00:00 04/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [01:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 04/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [04:00:00 04/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [04:00:00 04/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 04/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 04/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 04/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 04/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 04/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [04:00:00 04/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [04:00:00 04/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 04/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 04/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 04/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 04/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [04:00:00 04/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 04/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 04/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [04:00:00 04/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 04/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 04/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Venti Mask st: NotStopd t0: [04:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [04:00:00 04/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 04/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 04/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 04/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 04/07/2016] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [04:00:00 04/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 04/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [04:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 04/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [04:00:00 04/07/2016] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [04:00:00 04/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 04/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 04/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 04/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 04/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 04/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 04/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 04/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [04:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 20.7188 vu: ml t0: [04:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [04:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] 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: [03:37:00 04/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 186 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:37:00 04/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [03:37:00 04/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd
t0: [05:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 135 rs: Manual st: NotStopd
t0: [05:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [05:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [05:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] 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: [04:00:00 04/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [04:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [04:00:00 04/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 04/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 04/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.51785 u1: m2 st: NotStopd t0: [04:00:00 04/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.76504 u1: m2 st: NotStopd t0: [04:00:00 04/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 04/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [05:00:00 04/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 110.9 u1: kg st: NotStopd t0: [05:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd
t0: [06:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [06:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [05:00:00 04/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [06:00:00 04/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [06:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 04/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 04/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [07:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [07:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [07:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [07:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [07:00:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 93 rs: Manual st: NotStopd
tf: [10:00:00 05/07/2016] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 18 u1: UNIT
t0: [08:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 04/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [08:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [08:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [08:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 04/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: -1 cg: RN cv: 409.344 ap: none t0: [23:00:00 04/07/2016] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: RN cv: 2380 ap: none t0: [23:00:00 04/07/2016] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: RN cv: 2380 ap: none
t0: [08:00:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [08:00:00 04/07/2016] 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: [08:00:00 04/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 04/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [08:00:00 04/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [08:00:00 04/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [08:00:00 04/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [08:00:00 04/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 04/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 04/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 04/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [08:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 04/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 04/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [08:00:00 04/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 04/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 5 u1: lpm st: NotStopd t0: [08:00:00 04/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 04/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 04/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 04/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 04/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 04/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 04/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 7 u2: V-mA st: NotStopd t0: [08:00:00 04/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: None st: NotStopd t0: [08:00:00 04/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 04/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 04/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 04/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 04/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Walks Occasional st: NotStopd t0: [08:00:00 04/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 04/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 04/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 04/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 04/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 04/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [23:00:00 04/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 04/07/2016] dt: 24 id: 24h Total In el: 3 cu: -1 cg: RN cv: 829.344 ap: none t0: [23:00:00 04/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: -1 cg: RN cv: 420 ap: none t0: [23:00:00 04/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: RN cv: -1550.66 ap: none t0: [23:00:00 04/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: RN cv: 2412.69 ap: none
t0: [09:00:00 04/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 123 rs: Manual st: NotStopd
t0: [09:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [09:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 16.575 vu: ml t0: [09:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [09:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/07/2016] 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: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Ferrous Sulfate v1: 325 u1: mg tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Isosorbide Mononitrate (Extended Release) v1: 60 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC v1: 325 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Isosorbide Mononitrate (Extended Release) v1: 60 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Simvastatin v1: 40 u1: mg
t0: [09:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [09:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 04/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thin st: NotStopd t0: [09:00:00 04/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [10:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [10:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 12.4312 vu: ml t0: [10:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [10:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/07/2016] 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: [10:30:00 04/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 96 rs: Manual st: NotStopd
t0: [09:00:00 04/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [09:00:00 04/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [09:00:00 04/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [10:30:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 04/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:30:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:30:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:30:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:30:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [10:30:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:30:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [11:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [11:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 04/07/2016] 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: [11:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/07/2016] 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: [08:00:00 04/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 04/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [08:00:00 04/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [08:00:00 04/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [08:00:00 04/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Dull st: NotStopd t0: [11:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd
t0: [11:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 12.4312 vu: ml t0: [11:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [11:30:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:30:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:30:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:30:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [11:30:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:30:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:30:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 04/07/2016] 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: [17:00:00 04/07/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [12:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [12:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 04/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.5 u1: Deg. F st: NotStopd
t0: [08:00:00 04/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 04/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 04/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 04/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [11:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:30:00 04/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 158 rs: Manual st: NotStopd t0: [12:00:00 04/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 04/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 04/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 04/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [12:00:00 04/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [12:00:00 04/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [12:00:00 04/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [12:00:00 04/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 04/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [12:00:00 04/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 04/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 04/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [12:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 04/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 04/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [12:00:00 04/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 04/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 04/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 04/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 04/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 04/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 04/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 04/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 04/07/2016] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 04/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 04/07/2016] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 04/07/2016] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 04/07/2016] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 0 st: NotStopd t0: [12:00:00 04/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 04/07/2016] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 7 u2: V-mA st: NotStopd t0: [12:00:00 04/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: None st: NotStopd t0: [12:00:00 04/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 04/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 04/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 04/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 04/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:15:00 04/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [12:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 6.21563 vu: ml t0: [12:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [12:00:00 04/07/2016] 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: [13:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [13:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 04/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [13:00:00 04/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [13:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 110 vo: 0 vu: ml
t0: [13:00:00 04/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 04/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Ambulate st: NotStopd t0: [13:00:00 04/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN st: NotStopd t0: [13:00:00 04/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 04/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 04/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 04/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 04/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [13:00:00 04/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [14:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [14:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 04/07/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 04/07/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [15:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [15:00:00 04/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [15:00:00 04/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [15:00:00 04/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 04/07/2016] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 21 st: NotStopd t0: [15:00:00 04/07/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [15:00:00 04/07/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [15:00:00 04/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 04/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 21 st: NotStopd t0: [15:00:00 04/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [15:00:00 04/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [14:30:00 04/07/2016] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd
t0: [15:50:00 04/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 171 rs: Final st: NotStopd t0: [15:50:00 04/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [16:00:00 04/07/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 04/07/2016] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 04/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 04/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 04/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [17:00:00 04/07/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [16:00:00 04/07/2016] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 04/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 04/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 04/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NAS/Low Cholest st: NotStopd t0: [16:00:00 04/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 04/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 04/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 04/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 04/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/07/2016] id: INV Line#2 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 04/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 18 st: NotStopd t0: [16:00:00 04/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 04/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 04/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [16:00:00 04/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 04/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [16:00:00 04/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 04/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 04/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [16:00:00 04/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 04/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 04/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Right Leg st: NotStopd t0: [16:00:00 04/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 04/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 04/07/2016] id: Angio Appearance #2 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 04/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 04/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [16:00:00 04/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 04/07/2016] id: Angio Dressing #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 04/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 04/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 04/07/2016] id: Angio Site #2 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 04/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 04/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 04/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 04/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 105.6 u1: kg st: NotStopd t0: [16:00:00 04/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 04/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 04/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 04/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 04/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 04/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 04/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 04/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [16:00:00 04/07/2016] id: Nitroglycerine-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 04/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 04/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 04/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
tf: [17:00:00 04/07/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [10:00:00 05/07/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: HS:PRN m1: Milk of Magnesia v1: 30 u1: ml tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: HS:PRN m1: Oxazepam v1: 15-30 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Furosemide v1: 40 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: Q12H fs: 18, 6 dn: 2 m1: Potassium Chloride v1: 20 u1: mEq tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen v1: 650 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
tf: [07:00:00 05/07/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg tf: [10:00:00 05/07/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 6 u1: UNIT tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ranitidine v1: 150 u1: mg
tf: [12:00:00 06/07/2016] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 18 u1: UNIT tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg
tf: [16:00:00 05/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Pioglitazone HCl v1: 30 u1: mg tf: [22:00:00 06/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Pioglitazone HCl v1: 15 u1: mg
tf: [12:00:00 06/07/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
tf: [11:00:00 06/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [12:00:00 06/07/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 8 u1: UNIT
tf: [22:00:00 06/07/2016] pt: Unit Dose rt: SC fr: BREAKFAST fs: 8 dn: 1 m1: Insulin Human NPH v1: 18 u1: UNIT
tf: [22:00:00 06/07/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
tf: [22:00:00 06/07/2016] pt: Unit Dose rt: SC fr: HS fs: 22 dn: 1 m1: Insulin Human NPH v1: 10 u1: UNIT