This log is also available as text (s19208.txt) and as a (binary) annotation file (s19208.log).
Generated: Monday, 07-Jun-2010 13:20:32 EDT
(All dates below are surrogates.)
t0: [18:51:01 10/10/2010] tf: [21:29:42 17/10/2010] id: a42397 [view]
t0: [18:49:59 10/10/2010] tf: [20:13:59 23/10/2010] id: a42397n [view]
dd: 42731 ds: 5 ld: ATRIAL FIBRILLATION dd: 4280 ds: 8 ld: CONGESTIVE HEART FAILURE dd: 42830 ds: 7 ld: UNSPEC DIASTO HRT FAIL dd: 43491 ds: 1 ld: CER ART OCCL W/ CER INFA dd: 486 ds: 4 ld: PNEUMONIA, ORGANISM NOS dd: 5070 ds: 3 ld: FOOD/VOMIT PNEUMONITIS dd: 5180 ds: 9 ld: PULMONARY COLLAPSE dd: 51881 ds: 6 ld: RESPIRATORY FAILURE dd: 78039 ds: 1 ld: OTHER CONVULSIONS dd: 78039 ds: 2 ld: OTHER CONVULSIONS
tf: [18:19:00 27/10/2010] dt: 24321 cu: MICU-A de: FA5
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 80 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [22:00:00 10/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 10/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 10/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 10/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 10/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 10/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 10/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 10/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 10/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:00:00 10/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [22:00:00 10/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [22:00:00 10/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [22:00:00 10/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [22:00:00 10/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/10/2010] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 10/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 10/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 10/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 10/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 175 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 10/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 102.333 u1: mmHg st: NotStopd t0: [22:00:00 10/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 10/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 10/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 10/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 10/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 10/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 10/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 10/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 10/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 10/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 10/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 10/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [22:00:00 10/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 10/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [22:00:00 10/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [22:00:00 10/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 10/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 10/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 10/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 10/10/2010] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [22:00:00 10/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [22:00:00 10/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 10/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 10/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 10/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 10/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 10/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [22:00:00 10/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [22:00:00 10/10/2010] tf: [18:19:00 27/10/2010] dt: 24259 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml
t0: [22:10:00 10/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [22:11:00 10/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [22:11:00 10/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Teeth st: NotStopd t0: [22:11:00 10/10/2010] id: FIO2 Alarm-High el: 0 cu: MICU-A cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [22:11:00 10/10/2010] id: FIO2 Alarm-Low el: 0 cu: MICU-A cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [22:11:00 10/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:11:00 10/10/2010] id: % Inspir. Time el: 0 cu: MICU-A cg: RRT v1: 33% st: NotStopd t0: [22:11:00 10/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [22:11:00 10/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [22:11:00 10/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [22:11:00 10/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [22:11:00 10/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 24 st: NotStopd t0: [22:11:00 10/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [22:11:00 10/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10.9 u1: cmH2O st: NotStopd t0: [22:11:00 10/10/2010] id: Minute Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 14 u1: L/min st: NotStopd t0: [22:11:00 10/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [22:11:00 10/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:11:00 10/10/2010] id: Pause Time % el: 0 cu: MICU-A cg: RRT v1: 0% st: NotStopd t0: [22:11:00 10/10/2010] id: Peak Flow (Calc) el: 0 cu: MICU-A cg: RRT v1: 42.4242 u1: lpm st: NotStopd t0: [22:11:00 10/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [22:11:00 10/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [22:11:00 10/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [22:11:00 10/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [22:11:00 10/10/2010] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [22:11:00 10/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [22:11:00 10/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [22:11:00 10/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [22:11:00 10/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:11:00 10/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [22:11:00 10/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 662 u1: ml/B st: NotStopd t0: [22:11:00 10/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [22:11:00 10/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [22:11:00 10/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Servo 900c st: NotStopd t0: [22:11:00 10/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd t0: [22:11:00 10/10/2010] id: Working Pressure el: 0 cu: MICU-A cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [22:00:00 10/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [22:00:00 10/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 10/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 10/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 10/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 10/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [22:00:00 10/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [22:00:00 10/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 10/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 10/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 10/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 10/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [22:00:00 10/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [22:00:00 10/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 10/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 10/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 10/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 10/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [22:00:00 10/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 10/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 10/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [22:32:00 10/10/2010] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [22:32:00 10/10/2010] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 88.5 u1: kg t0: [22:32:00 10/10/2010] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:32:00 10/10/2010] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: SEIZURES t0: [22:32:00 10/10/2010] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [22:32:00 10/10/2010] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [22:32:00 10/10/2010] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:32:00 10/10/2010] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [22:32:00 10/10/2010] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:32:00 10/10/2010] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:32:00 10/10/2010] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:32:00 10/10/2010] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:32:00 10/10/2010] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [23:00:00 10/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 10/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 10/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 10/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [23:00:00 10/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [23:00:00 10/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [23:00:00 10/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 10/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 10/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [23:00:00 10/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 10/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 10/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -60 cv: -60 ap: none t0: [23:00:00 10/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 10/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 10/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 60 cv: 1060 ap: none t0: [23:00:00 10/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -60 cv: -1060 ap: none t0: [23:00:00 10/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 60 cv: 1060 ap: none t0: [23:00:00 10/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -60 cv: -1060 ap: none
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [23:30:00 10/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [23:30:00 10/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [00:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [00:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [00:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:30:00 11/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:30:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:30:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:30:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 11/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:30:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:30:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:30:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:30:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:30:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:30:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:30:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:30:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:30:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:30:00 11/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:30:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [00:30:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:30:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:30:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:30:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:30:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:30:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:30:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:30:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:30:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:30:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:30:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [00:30:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:30:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:30:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:30:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:30:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [00:30:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:30:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:30:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:30:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:30:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:30:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:30:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:30:00 11/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:30:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:30:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:30:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:30:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:30:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:30:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:30:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:30:00 11/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:30:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:30:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:30:00 11/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [00:30:00 11/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:30:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:30:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:30:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:30:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 11/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:30:00 11/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 135 rs: Manual st: NotStopd t0: [00:30:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 11/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 11/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [01:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [01:00:00 11/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [01:00:00 11/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [01:00:00 11/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [01:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 11/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 11/10/2010] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 11/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [01:00:00 11/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [01:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 11/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 11/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [01:00:00 11/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [01:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 11/10/2010] tf: [03:00:00 16/10/2010] dt: 7380 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [00:30:00 11/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [00:30:00 11/10/2010] tf: [18:00:00 11/10/2010] dt: 1050 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 120 vu: ml t0: [00:30:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [01:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml
t0: [01:15:00 11/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [01:15:00 11/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [01:15:00 11/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Teeth st: NotStopd t0: [01:15:00 11/10/2010] id: FIO2 Alarm-High el: 0 cu: MICU-A cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [01:15:00 11/10/2010] id: FIO2 Alarm-Low el: 0 cu: MICU-A cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [01:15:00 11/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:15:00 11/10/2010] id: % Inspir. Time el: 0 cu: MICU-A cg: RRT v1: 33% st: NotStopd t0: [01:15:00 11/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:15:00 11/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:15:00 11/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:15:00 11/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [01:15:00 11/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 24 st: NotStopd t0: [01:15:00 11/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:15:00 11/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [01:15:00 11/10/2010] id: Minute Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 14 u1: L/min st: NotStopd t0: [01:15:00 11/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [01:15:00 11/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:15:00 11/10/2010] id: Pause Time % el: 0 cu: MICU-A cg: RRT v1: 0% st: NotStopd t0: [01:15:00 11/10/2010] id: Peak Flow (Calc) el: 0 cu: MICU-A cg: RRT v1: 42.4242 u1: lpm st: NotStopd t0: [01:15:00 11/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [01:15:00 11/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [01:15:00 11/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:15:00 11/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [01:15:00 11/10/2010] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [01:15:00 11/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [01:15:00 11/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:15:00 11/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:15:00 11/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:15:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [01:15:00 11/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 669 u1: ml/B st: NotStopd t0: [01:15:00 11/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [01:15:00 11/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 150 u1: ml/B st: NotStopd t0: [01:15:00 11/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [01:15:00 11/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Servo 900c st: NotStopd t0: [01:15:00 11/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd t0: [01:15:00 11/10/2010] id: Working Pressure el: 0 cu: MICU-A cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [01:00:00 11/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [02:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [02:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [02:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [02:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [02:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [02:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [02:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [02:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [02:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:00:00 11/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1950 ap: none t0: [23:00:00 11/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1950 ap: none t0: [23:00:00 11/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 755 ap: none t0: [23:00:00 11/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1195 ap: none t0: [23:00:00 11/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 755 ap: none t0: [23:00:00 11/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 135 ap: none
t0: [02:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 11/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [03:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [03:00:00 11/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [03:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [03:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 11/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 11/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [04:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [04:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 11/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [04:00:00 11/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 11/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [04:00:00 11/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 11/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/10/2010] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [04:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [04:00:00 11/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [04:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [04:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [04:30:00 11/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [04:30:00 11/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25.9259 u1: ml/cmH st: NotStopd t0: [04:30:00 11/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 21cm v2: Teeth st: NotStopd t0: [04:30:00 11/10/2010] id: FIO2 Alarm-High el: 0 cu: MICU-A cg: RRT v1: 50 u1: decFrc st: NotStopd t0: [04:30:00 11/10/2010] id: FIO2 Alarm-Low el: 0 cu: MICU-A cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [04:30:00 11/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 11/10/2010] id: % Inspir. Time el: 0 cu: MICU-A cg: RRT v1: 33% st: NotStopd t0: [04:30:00 11/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:30:00 11/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 11/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 11/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:30:00 11/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 24 st: NotStopd t0: [04:30:00 11/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3 st: NotStopd t0: [04:30:00 11/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [04:30:00 11/10/2010] id: Minute Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 14 u1: L/min st: NotStopd t0: [04:30:00 11/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.1 u1: L/min st: NotStopd t0: [04:30:00 11/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 11/10/2010] id: Pause Time % el: 0 cu: MICU-A cg: RRT v1: 0% st: NotStopd t0: [04:30:00 11/10/2010] id: Peak Flow (Calc) el: 0 cu: MICU-A cg: RRT v1: 42.4242 u1: lpm st: NotStopd t0: [04:30:00 11/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [04:30:00 11/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:30:00 11/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:30:00 11/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [04:30:00 11/10/2010] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:30:00 11/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 11/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:30:00 11/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:30:00 11/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:30:00 11/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 642 u1: ml/B st: NotStopd t0: [04:30:00 11/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [04:30:00 11/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: SIMV+PS st: NotStopd t0: [04:30:00 11/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Servo 900c st: NotStopd t0: [04:30:00 11/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: SQUARE st: NotStopd t0: [04:30:00 11/10/2010] id: Working Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd
t0: [04:00:00 11/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 27.2 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 31.1 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.2 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.1 rs: Final st: NotStopd
t0: [04:00:00 11/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.5 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.5 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.4 u1: % rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 209 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.03 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.5 rs: Final st: NotStopd
t0: [04:00:00 11/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 5.3 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [05:15:00 11/10/2010] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 73.3333 u1: units st: NotStopd t0: [05:15:00 11/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: cmH2O st: NotStopd t0: [05:15:00 11/10/2010] id: Minute Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [05:15:00 11/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [05:15:00 11/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [05:15:00 11/10/2010] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 73.3333 u1: units st: NotStopd t0: [05:15:00 11/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:15:00 11/10/2010] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:15:00 11/10/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: L st: NotStopd t0: [05:15:00 11/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [05:15:00 11/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:15:00 11/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [05:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [05:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [06:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [06:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [06:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 103.667 u1: mmHg st: NotStopd t0: [06:00:00 11/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [06:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [06:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 11/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 11/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [06:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [06:00:00 11/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [06:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [06:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [06:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [06:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [06:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [06:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [06:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [06:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [06:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:25:00 11/10/2010] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 50 u1: units st: NotStopd t0: [06:25:00 11/10/2010] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 50 u1: units st: NotStopd t0: [06:25:00 11/10/2010] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [06:25:00 11/10/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: L st: NotStopd
t0: [07:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [07:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [07:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [07:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:15:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:15:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:15:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:15:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:15:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:15:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:15:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [07:15:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:15:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:15:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [07:15:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:15:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [07:15:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [07:15:00 11/10/2010] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Extubated st: NotStopd t0: [07:15:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:15:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [08:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 11/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 11/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd
t0: [08:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [08:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [08:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 11/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [08:00:00 11/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 11/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [08:00:00 11/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 11/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [08:00:00 11/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2010] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 11/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 11/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [09:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [09:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [09:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [10:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [10:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [10:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [10:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [10:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [10:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [10:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [10:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [11:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [10:00:00 11/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
t0: [10:00:00 11/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 11/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [10:00:00 11/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [11:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [11:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [11:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [11:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [10:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 11/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 11/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [12:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 11/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [12:00:00 11/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 11/10/2010] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 25 st: NotStopd t0: [12:00:00 11/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [12:00:00 11/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 11/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/10/2010] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [12:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [12:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [12:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 11/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [12:00:00 11/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [12:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 11/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 11/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 11/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 11/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 11/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 11/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 11/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [10:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [12:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [12:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [13:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [13:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [13:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [14:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [14:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [14:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [14:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [14:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [14:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [14:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [14:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [14:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [14:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 160 vu: ml t0: [14:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [04:00:00 11/10/2010] id: Cholesterol Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Triglyceride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 62 rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Cholesterol (<200) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 11/10/2010] id: Triglyceride (0-200) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 62 rs: Final st: NotStopd
t0: [04:00:00 11/10/2010] id: Sed Rate Hematology el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd
t0: [16:00:00 11/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 6.1 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 229 rs: Final st: NotStopd t0: [16:00:00 11/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd
t0: [16:00:00 11/10/2010] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [14:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [14:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [14:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [15:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [15:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 117.333 u1: mmHg st: NotStopd t0: [15:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [15:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [16:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 11/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 11/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [17:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [17:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [17:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [18:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [18:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [18:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [18:30:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [14:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [16:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 11/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 11/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 11/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [17:00:00 11/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [17:00:00 11/10/2010] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 25 st: NotStopd t0: [17:00:00 11/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [17:00:00 11/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [17:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 11/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Swelling st: NotStopd t0: [17:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [17:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 11/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [18:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [18:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [18:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 11/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [18:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [18:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [18:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [18:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [18:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [18:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [18:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [18:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [18:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [18:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [18:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 11/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [18:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [18:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [18:00:00 11/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 11/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 11/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [18:00:00 11/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 11/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [18:00:00 11/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [18:00:00 11/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [16:21:00 11/10/2010] id: Sed Rate Hematology el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd
t0: [21:00:00 11/10/2010] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [21:00:00 11/10/2010] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [21:00:00 11/10/2010] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [21:00:00 11/10/2010] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [18:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [19:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [19:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [19:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [19:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [20:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 11/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [20:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 11/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [20:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 11/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 11/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 11/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 11/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [21:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [21:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 11/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 11/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [21:00:00 11/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [21:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [22:00:00 11/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 11/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 11/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 11/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 11/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 11/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [22:00:00 11/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [22:00:00 11/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 11/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [22:00:00 11/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 11/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 11/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 11/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 11/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 11/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 11/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [22:00:00 11/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 11/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 11/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [22:00:00 11/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 11/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 11/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 11/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [22:00:00 11/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 11/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 11/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 11/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 11/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 11/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [22:00:00 11/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 11/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 11/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 11/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [22:00:00 11/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 11/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 11/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 11/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 11/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 11/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 11/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 11/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 11/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 11/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 11/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 11/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [22:00:00 11/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [19:00:00 11/10/2010] tf: [20:00:00 11/10/2010] dt: 60 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 80 vu: ml t0: [20:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [21:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [21:30:00 11/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [22:00:00 11/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml
t0: [22:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [22:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 11/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 11/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [23:00:00 11/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [23:00:00 11/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 11/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 11/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 12/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [00:00:00 12/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Swelling st: NotStopd t0: [00:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 12/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:00:00 12/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 12/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [00:00:00 12/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml
t0: [23:00:00 12/10/2010] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [23:00:00 11/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Agitated st: NotStopd t0: [00:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [00:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 12/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [00:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 12/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 12/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [00:00:00 12/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [00:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 12/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 12/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 12/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 12/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [00:00:00 12/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [00:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 12/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 12/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 12/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 12/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 12/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 12/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 12/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [01:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98.6667 u1: mmHg st: NotStopd t0: [01:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [01:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 12/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [02:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [02:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [02:00:00 12/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [02:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 12/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 12/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [02:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [02:00:00 12/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [02:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [02:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 12/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 12/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [02:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [02:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [00:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [01:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [01:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [02:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [02:00:00 12/10/2010] tf: [18:19:00 27/10/2010] dt: 22579 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 45 vu: ml t0: [02:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 12/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 12/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -9.38 cv: -9.38 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 20.62 cv: 778.823 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 20.62 cv: 1543.82 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 105 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 1185 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -9.38 cv: 358.822 ap: none t0: [23:00:00 12/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 30 cv: 1185 ap: none t0: [23:00:00 12/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -9.38 cv: 493.823 ap: none
t0: [02:10:00 12/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.1 u1: % rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 234 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.09 u1: /mic l rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 rs: Final st: NotStopd
t0: [02:10:00 12/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [02:10:00 12/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd
id: Fresh Frozen Plasma el: 1 cu: MICU-A cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [02:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [02:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 12/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [03:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [04:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 12/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 12/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [04:00:00 12/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Swelling st: NotStopd t0: [04:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 12/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 12/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 100.333 u1: mmHg st: NotStopd t0: [04:00:00 12/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [04:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 12/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 12/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 12/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 12/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 12/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 12/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 12/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 12/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 12/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 12/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [03:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [03:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [04:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 12/10/2010] tf: [22:00:00 17/10/2010] dt: 8280 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 335 vu: ml t0: [04:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [01:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [05:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [05:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [06:00:00 12/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [06:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 12/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [06:00:00 12/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [06:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [06:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 12/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [06:00:00 12/10/2010] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 12/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [06:00:00 12/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [06:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 96.6667 u1: mmHg st: NotStopd t0: [06:00:00 12/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [06:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [06:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [06:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [06:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 12/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [06:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [06:00:00 12/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [06:00:00 12/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [06:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [06:00:00 12/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [06:00:00 12/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [06:00:00 12/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 12/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 12/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [06:00:00 12/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [06:00:00 12/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 12/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [06:00:00 12/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [05:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [05:00:00 12/10/2010] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 325 vu: ml t0: [05:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [06:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [06:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 12/10/2010] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 660 ap: none
t0: [01:00:00 12/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [07:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [07:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [07:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [07:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [07:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 12/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 99.6667 u1: mmHg st: NotStopd t0: [08:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [08:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 12/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 12/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 12/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 12/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:45:00 12/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:45:00 12/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:45:00 12/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [09:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [09:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 12/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [09:00:00 12/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [09:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [07:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml t0: [08:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [08:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [09:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [09:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:45:00 12/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [08:45:00 12/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [08:45:00 12/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 29.6 rs: Final st: NotStopd t0: [08:45:00 12/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [08:45:00 12/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [08:45:00 12/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 29.6 rs: Final st: NotStopd
t0: [10:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 135 u1: BPM st: NotStopd t0: [10:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 90.6667 u1: mmHg st: NotStopd t0: [10:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [10:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 132 u1: BPM st: NotStopd t0: [11:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [11:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [11:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [11:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:15:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:15:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 125 u1: BPM st: NotStopd t0: [11:15:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:15:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [11:15:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:15:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [11:15:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:15:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [11:15:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:30:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:30:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [11:30:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [11:30:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:30:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:30:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:45:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:45:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:45:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:45:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:45:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:45:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [11:45:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:45:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [11:45:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:45:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:45:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [12:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [12:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [12:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:15:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:15:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:15:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:15:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:15:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:15:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:15:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:15:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [12:15:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:15:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:15:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:30:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:30:00 12/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:30:00 12/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:30:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [12:30:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:30:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:30:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:30:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:30:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [11:45:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [12:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:15:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:15:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:45:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:45:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:45:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:45:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:45:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [12:45:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:45:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:45:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 12/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd
t0: [12:00:00 12/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 12/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [13:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [13:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [13:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [13:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 12/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 12/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [13:00:00 12/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [13:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
id: KCL el: 100 cu: MICU-A cg: RN io: D5/.45NS 1000.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
t0: [15:00:00 12/10/2010] id: IV #1 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 12/10/2010] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 12/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 12/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 12/10/2010] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [12:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [12:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 12/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 12/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 12/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 12/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/10/2010] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 25 st: NotStopd t0: [12:00:00 12/10/2010] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 24 st: NotStopd t0: [12:00:00 12/10/2010] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 12/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 12/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 12/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 12/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 12/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 12/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 12/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 12/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 12/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 12/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 12/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 12/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 12/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 12/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [13:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [14:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [15:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [15:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [15:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [12:00:00 12/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 210 vu: ml t0: [14:00:00 12/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [13:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml st: Stopped t0: [13:00:00 12/10/2010] tf: [16:00:00 12/10/2010] dt: 180 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [14:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vu: ml t0: [14:00:00 12/10/2010] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [15:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vu: ml t0: [15:00:00 12/10/2010] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml
id: Neosynephrine-k el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: KCL el: 200 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [18:00:00 12/10/2010] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: FIO2 Alarm-High el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: FIO2 Alarm-Low el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: % Inspir. Time el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: Minute Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: Pause Time % el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: Peak Flow (Calc) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: Remote Alarm el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: Ventilator No. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 12/10/2010] id: Working Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 10 ru: ml/hr io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ra: 3.5577 ru: ml/hr io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: RN ra: 294.263 ru: ml/hr
t0: [18:00:00 12/10/2010] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [18:00:00 12/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [18:00:00 12/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [18:00:00 12/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [18:00:00 12/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [18:00:00 12/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [18:00:00 12/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 12/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [18:00:00 12/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 12/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [18:00:00 12/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [18:00:00 12/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [18:00:00 12/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [18:00:00 12/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [18:00:00 12/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 12/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [18:00:00 12/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [18:00:00 12/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [18:00:00 12/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [18:00:00 12/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 12/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 12/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [18:00:00 12/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thin st: NotStopd t0: [18:00:00 12/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 12/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [18:00:00 12/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [18:00:00 12/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 12/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [18:00:00 12/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [14:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [14:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [15:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [15:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [15:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:15:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:15:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:15:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [17:15:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 248 u1: mmHg v2: 126 u2: mmHg st: NotStopd t0: [17:15:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg st: NotStopd t0: [17:15:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:15:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [17:15:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:15:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 80 u1: % st: NotStopd t0: [17:15:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:30:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:30:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 184 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:30:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [17:30:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [17:30:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:30:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:45:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:45:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:45:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:45:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:45:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:45:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:45:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [17:45:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:45:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:45:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [18:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [18:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:05:00 12/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 17.6 rs: Final st: NotStopd t0: [18:05:00 12/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:05:00 12/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 28.2 rs: Final st: NotStopd t0: [18:05:00 12/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:05:00 12/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 17.6 rs: Final st: NotStopd t0: [18:05:00 12/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 28.2 rs: Final st: NotStopd
t0: [16:00:00 12/10/2010] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [17:00:00 12/10/2010] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 12/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 12/10/2010] tf: [09:00:00 17/10/2010] dt: 6660 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 12/10/2010] tf: [20:45:00 17/10/2010] dt: 7365 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 6.7 vu: ml t0: [18:00:00 12/10/2010] tf: [22:00:00 12/10/2010] dt: 240 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.3 vu: ml t0: [18:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 12/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 12/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 12/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 12/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 12/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 12/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 12/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 12/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 12/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 124 rs: Manual st: NotStopd
t0: [12:00:00 12/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 12/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [16:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 12/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 12/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 12/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [17:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [17:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [17:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [17:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [17:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [17:00:00 12/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [17:00:00 12/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 12/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Disoriented st: NotStopd t0: [17:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [17:00:00 12/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [17:00:00 12/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 12/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [17:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [18:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd
t0: [18:00:00 12/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:00:00 12/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [18:00:00 12/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd
t0: [18:00:00 12/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [18:00:00 12/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [18:00:00 12/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [18:00:00 12/10/2010] tf: [21:20:00 12/10/2010] dt: 200 id: Neosynephrine-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 13.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/10/2010] tf: [08:00:00 18/10/2010] dt: 8040 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 6.7 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 12/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [20:30:00 12/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [20:30:00 12/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:30:00 12/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:30:00 12/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:30:00 12/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:30:00 12/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:30:00 12/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:30:00 12/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:30:00 12/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:30:00 12/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:30:00 12/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:30:00 12/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:30:00 12/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [20:30:00 12/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:30:00 12/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:30:00 12/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:30:00 12/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:30:00 12/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:30:00 12/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:30:00 12/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:30:00 12/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:30:00 12/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:30:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:30:00 12/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [20:30:00 12/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:30:00 12/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:30:00 12/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:30:00 12/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 12/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 12/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 12/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 12/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [20:00:00 12/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 12/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 12/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 12/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 12/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 12/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 12/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [20:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 12/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 12/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 12/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 12/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 12/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 12/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 12/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 12/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 12/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:00:00 12/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 12/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 12/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 88.5 u1: kg st: NotStopd t0: [20:00:00 12/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 12/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 12/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 12/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 12/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 12/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 12/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 12/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 12/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 12/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 12/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 12/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 12/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 12/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 12/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 12/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 12/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 12/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 12/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [19:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 12/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 3.6 vu: ml t0: [19:00:00 12/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.3 vu: ml t0: [20:00:00 12/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.7 vu: ml t0: [20:00:00 12/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.3 vu: ml t0: [20:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [19:00:00 12/10/2010] id: Neosynephrine-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/10/2010] id: Neosynephrine-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:54:00 12/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [21:54:00 12/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [21:54:00 12/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [21:54:00 12/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [21:54:00 12/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [21:54:00 12/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [21:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [21:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:20:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:20:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:20:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:20:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [21:20:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:20:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [21:20:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:20:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:20:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:20:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [21:00:00 12/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [21:00:00 12/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 60 vu: ml t0: [21:00:00 12/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 11.0625 vu: ml t0: [22:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 12/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [21:00:00 12/10/2010] id: Neosynephrine-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:20:00 12/10/2010] id: Neosynephrine-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [21:20:00 12/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 12/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 12/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [22:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [00:00:00 13/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 82 rs: Manual st: NotStopd
t0: [00:00:00 13/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [00:00:00 13/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 13/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [00:00:00 13/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [00:00:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 13/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:00:00 13/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [00:00:00 13/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 13/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 13/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 13/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 13/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 13/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 13/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 12/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 12/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 12/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 12/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 12/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 12/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 12/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 12/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 12/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 12/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 12/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 13/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 13/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 13/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 13/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 13/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 13/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 13/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 13/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 13/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 13/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 13/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 13/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 13/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 13/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 13/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 13/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 13/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 13/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 13/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 13/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 13/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 13/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 13/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 13/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 13/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 13/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 13/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 13/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 13/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 13/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 13/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [00:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 13/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 13/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [23:00:00 12/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 12/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [23:00:00 12/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [00:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [00:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [23:00:00 12/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [01:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [02:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [02:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [01:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 13/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 35 cv: 35 ap: none t0: [23:00:00 13/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 145.62 cv: 145.62 ap: none t0: [23:00:00 13/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 180.62 cv: 1464.88 ap: none t0: [23:00:00 13/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 180.62 cv: 1464.88 ap: none t0: [23:00:00 13/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 35 cv: 1505 ap: none t0: [23:00:00 13/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 145.62 cv: -40.1201 ap: none t0: [23:00:00 13/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 35 cv: 1505 ap: none t0: [23:00:00 13/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 145.62 cv: 453.702 ap: none
t0: [03:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 13/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [03:00:00 13/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [03:00:00 13/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [03:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 13/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [03:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 13/10/2010] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.09 rs: Final st: NotStopd t0: [03:30:00 13/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd
t0: [00:00:00 13/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 13/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 13/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 13/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 13/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 13/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 13/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 13/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 13/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 13/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 13/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 13/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 13/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [04:00:00 13/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 13/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 13/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 13/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 13/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 13/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 13/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 13/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 13/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 13/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 13/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 13/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 13/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 13/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 13/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 13/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 13/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 13/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 13/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 13/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 13/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 13/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 13/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 13/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 13/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 13/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 13/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 13/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 13/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [03:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [04:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [04:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:30:00 13/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [04:30:00 13/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:30:00 13/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: FiO2> 60% st: NotStopd t0: [04:30:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:30:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [04:30:00 13/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:30:00 13/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:30:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:30:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:30:00 13/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:30:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:30:00 13/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [04:30:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 13/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:30:00 13/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:30:00 13/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:30:00 13/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [04:30:00 13/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:30:00 13/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:30:00 13/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:30:00 13/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [04:30:00 13/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 588 u1: ml/B st: NotStopd t0: [04:30:00 13/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:30:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:30:00 13/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:20:00 13/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.7 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.7 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.1 u1: % rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 189 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.78 u1: /mic l rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.7 rs: Final st: NotStopd
t0: [03:20:00 13/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 24.5 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.5 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 24.5 rs: Final st: NotStopd
t0: [03:20:00 13/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 93 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 93 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 rs: Final st: NotStopd t0: [03:20:00 13/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [03:20:00 13/10/2010] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [05:57:00 13/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [05:57:00 13/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [05:57:00 13/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:57:00 13/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [05:57:00 13/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [05:57:00 13/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [05:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [06:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [06:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [05:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 13/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 84 rs: Manual st: NotStopd
t0: [04:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml t0: [06:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [07:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [07:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd
t0: [07:00:00 13/10/2010] id: Plateau-Off el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [07:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [07:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [07:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [07:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 21.24 vu: ml
t0: [08:00:00 13/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 13/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [08:00:00 13/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.2 u1: Deg. F st: NotStopd
t0: [08:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 13/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 13/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 13/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [08:00:00 13/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 13/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 13/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 13/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 13/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 13/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 13/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 13/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 13/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 13/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [08:00:00 13/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 13/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd
t0: [08:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [08:00:00 13/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [08:00:00 13/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 60 u1: ml/cmH st: NotStopd t0: [08:00:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [08:00:00 13/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [08:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [08:00:00 13/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 13/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [08:00:00 13/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14 u1: L/min st: NotStopd t0: [08:00:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 13/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [08:00:00 13/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 13/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 13/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [08:00:00 13/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 13/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 13/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [08:00:00 13/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 13/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 13/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 13/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 13/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 13/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 13/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 13/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 13/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 13/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 13/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 13/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 13/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 13/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 13/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 13/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 13/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 13/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 13/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 13/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 13/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 13/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [09:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [09:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 13/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 13/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [09:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [10:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [10:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [10:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [11:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [11:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [11:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [11:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [11:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [12:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [12:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [13:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [12:00:00 13/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:00:00 13/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [12:00:00 13/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [12:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [12:00:00 13/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 13/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 13/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 13/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:00:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 13/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [12:00:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 13/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 13/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 13/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 13/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 13/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 13/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 13/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [12:00:00 13/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 13/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [13:00:00 13/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [13:00:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 13/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 13/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [13:00:00 13/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd
t0: [13:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [14:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [14:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:05:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:05:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:05:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:05:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:05:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:05:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [14:05:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:05:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:05:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:05:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:10:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:10:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:10:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:10:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [14:10:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:10:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:10:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:10:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:10:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:10:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:15:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:15:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:15:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:15:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [14:15:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:15:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:15:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:15:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:15:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:15:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:20:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:20:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:20:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:20:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [14:20:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:20:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:20:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:20:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:20:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:20:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:25:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:25:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:25:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:25:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [14:25:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:25:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:25:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:25:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:25:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:25:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:05:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:10:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:15:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:20:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:25:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:20:00 13/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd
t0: [15:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [15:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 21.24 vu: ml t0: [16:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 13/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 13/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 13/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 13/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 13/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 13/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 13/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 13/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 13/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 13/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 13/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 13/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 13/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 13/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 13/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 13/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 13/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 13/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 13/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 13/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 13/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 13/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 13/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:00:00 13/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [11:00:00 13/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 13/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:00:00 13/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [14:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:20:00 13/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: RN v1: 3.2 rs: Final st: NotStopd t0: [15:20:00 13/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: RN v1: 3.2 rs: Final st: NotStopd
t0: [16:00:00 13/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [16:00:00 13/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [16:00:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [16:00:00 13/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 13/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 13/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [16:00:00 13/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [16:00:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [16:00:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 13/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 13/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 13/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 13/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [16:00:00 13/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:00:00 13/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [17:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [17:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 13/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [17:00:00 13/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [17:00:00 13/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [17:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [17:00:00 13/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 13/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 13/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 13/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 13/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 13/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 13/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 13/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [17:00:00 13/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 13/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 13/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 13/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [17:00:00 13/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [18:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [18:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [18:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [19:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [19:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 21.24 vu: ml
t0: [18:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd
t0: [19:00:00 13/10/2010] id: FiO2 (Analyzed) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 13/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [20:00:00 13/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [20:00:00 13/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [20:00:00 13/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 13/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 13/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 13/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 13/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:00:00 13/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 13/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [20:00:00 13/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 13/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 13/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 13/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 13/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 13/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 13/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [20:00:00 13/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 13/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 13/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 13/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 13/10/2010] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 13/10/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 13/10/2010] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 13/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 13/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 13/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 13/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 13/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 13/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 13/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 13/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 13/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [20:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 13/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 13/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 13/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 13/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 13/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 13/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 13/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 13/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 13/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 13/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 13/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 13/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 13/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 13/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 13/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 13/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 13/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 13/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 13/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 13/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 13/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 13/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 13/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 13/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 13/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [20:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [20:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [21:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [21:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:43:00 13/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [21:43:00 13/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [21:00:00 13/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 13/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 13/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 13/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 13/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:00:00 13/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 13/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 13/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 13/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:00:00 13/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 13/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 13/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 13/10/2010] tf: [00:00:00 14/10/2010] dt: 30 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [22:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [23:00:00 13/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [23:00:00 13/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [23:00:00 13/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [23:30:00 13/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 500 vu: ml
t0: [22:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 13/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 13/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 13/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 13/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 13/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 13/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 13/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 13/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 13/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [21:00:00 13/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [22:00:00 13/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 13/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 13/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 13/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 13/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 13/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 13/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 13/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 13/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 13/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 13/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 14/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 14/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 14/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 14/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 14/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 14/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 14/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 14/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 14/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 14/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 14/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 14/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 14/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 14/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [00:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [00:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 14/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [00:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [00:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [00:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 14/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 93 rs: Manual st: NotStopd
t0: [00:00:00 14/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [00:00:00 14/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [00:00:00 14/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [00:00:00 14/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 14/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 14/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 14/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 14/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 14/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [00:00:00 14/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 14/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [00:00:00 14/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 14/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 14/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 14/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 14/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [00:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 14/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 572 u1: ml/B st: NotStopd t0: [00:00:00 14/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 14/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 14/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 14/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [01:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [01:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [02:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 70 vu: ml t0: [02:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml
t0: [01:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 13/10/2010] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [02:00:00 14/10/2010] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [00:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [01:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [02:15:00 14/10/2010] tf: [03:00:00 14/10/2010] dt: 45 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 500 vu: ml
t0: [23:00:00 14/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 14/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 80.93 cv: 80.93 ap: none t0: [23:00:00 14/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 125.93 cv: 4754.84 ap: none t0: [23:00:00 14/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 125.93 cv: 4754.84 ap: none t0: [23:00:00 14/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 45 cv: 871 ap: none t0: [23:00:00 14/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 80.93 cv: 3883.84 ap: none t0: [23:00:00 14/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 45 cv: 871 ap: none t0: [23:00:00 14/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 80.93 cv: 4337.54 ap: none
t0: [04:00:00 14/10/2010] id: IV #4 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 14/10/2010] id: IV #4 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 14/10/2010] id: IV #4 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 14/10/2010] id: IV #4 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 14/10/2010] id: IV Site Appear #4 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [02:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 14/10/2010] id: IV #4 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 14/10/2010] id: IV #4 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [02:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 14/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [03:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [03:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 14/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 14/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [04:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 14/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 14/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [04:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 14/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 14/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 14/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 14/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 14/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 14/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 14/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [03:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [03:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [03:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [04:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [04:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [03:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [04:34:00 14/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:34:00 14/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:34:00 14/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:34:00 14/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 14/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 139 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 14/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [04:10:00 14/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 165 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.9 rs: Final st: NotStopd
t0: [04:00:00 14/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [04:00:00 14/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 24 u1: ml/cmH st: NotStopd t0: [04:00:00 14/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 14/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Teeth st: NotStopd t0: [04:00:00 14/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 14/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 14/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 14/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 14/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 14/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 14/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 14/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [04:00:00 14/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 14/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 14/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 14/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 14/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 14/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 698 u1: ml/B st: NotStopd t0: [04:00:00 14/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 14/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 14/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 14/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [05:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [05:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:10:00 14/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.8 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 24.9 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.8 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 24.9 rs: Final st: NotStopd
t0: [04:10:00 14/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:10:00 14/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [05:00:00 14/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 14/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [05:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vu: ml st: Stopped t0: [05:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [05:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [06:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml
t0: [06:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 14/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 91 rs: Manual st: NotStopd
t0: [06:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [06:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [07:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [07:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [07:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [07:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 14/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 14/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [08:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 14/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 14/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [08:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 14/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 14/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 14/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 14/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [08:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 14/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 14/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 14/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 14/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 14/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [07:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [07:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [07:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [08:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [08:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 37 vu: ml
t0: [07:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:40:00 14/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [08:40:00 14/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [08:40:00 14/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:40:00 14/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:40:00 14/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:40:00 14/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:40:00 14/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:40:00 14/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:40:00 14/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [08:40:00 14/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:40:00 14/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:40:00 14/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.57 u1: L/min st: NotStopd t0: [08:40:00 14/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 14/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:40:00 14/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:40:00 14/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:40:00 14/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [08:40:00 14/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:40:00 14/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:40:00 14/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:40:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:40:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thin st: NotStopd t0: [08:40:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:40:00 14/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 572 u1: ml/B st: NotStopd t0: [08:40:00 14/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:40:00 14/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:40:00 14/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:40:00 14/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:15:00 14/10/2010] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 55 rs: Final st: NotStopd
t0: [09:15:00 14/10/2010] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [09:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [09:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [09:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [10:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 176 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [10:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [09:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [10:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [10:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [10:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [11:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [11:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [11:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 34 vu: ml
t0: [08:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [10:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 14/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: DONE t0: [11:00:00 14/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 14/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 14/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 14/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 14/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [12:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 14/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 14/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 14/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [12:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 14/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 14/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 14/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 14/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [12:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [12:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 14/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 14/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [12:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [12:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 14/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 14/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 14/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 14/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 14/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 14/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 14/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [12:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [12:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [12:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:12:00 14/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:12:00 14/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [12:12:00 14/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:12:00 14/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:12:00 14/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:12:00 14/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:12:00 14/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:12:00 14/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [12:12:00 14/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:12:00 14/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:12:00 14/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:12:00 14/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [12:12:00 14/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:12:00 14/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:12:00 14/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:12:00 14/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [12:12:00 14/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:12:00 14/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:12:00 14/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:12:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [12:12:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [12:12:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:12:00 14/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 581 u1: ml/B st: NotStopd t0: [12:12:00 14/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:12:00 14/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:12:00 14/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:12:00 14/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:12:00 14/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd
t0: [13:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [13:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/10/2010] tf: [23:00:00 15/10/2010] dt: 2220 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [13:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [13:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 350 vu: ml
t0: [14:00:00 14/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 14/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [14:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [14:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thin st: NotStopd t0: [14:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [14:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [14:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [15:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [15:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [15:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thin st: NotStopd t0: [15:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [15:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [15:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:30:00 14/10/2010] id: Vancomycin/Peak Drug Level el: 0 cu: MICU-A cg: 1663 v1: 19.8 rs: Final st: NotStopd
t0: [13:00:00 14/10/2010] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [14:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:00:00 14/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [15:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [15:00:00 14/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [15:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [15:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [15:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 14/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 14/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [15:00:00 14/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [15:00:00 14/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [15:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [15:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 14/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [15:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 14/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [15:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:00:00 14/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 14/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [15:00:00 14/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [15:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 14/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [15:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 14/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [15:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [15:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [15:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [15:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 14/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 14/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [16:00:00 14/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.1111 u1: ml/cmH st: NotStopd t0: [16:00:00 14/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 14/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 14/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 14/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 14/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 14/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 14/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [16:00:00 14/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 14/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [16:00:00 14/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 14/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 14/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 14/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [16:00:00 14/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 14/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:00:00 14/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 14/10/2010] id: IV #3 Reason DC'D el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 14/10/2010] id: IV #3 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 14/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 14/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 14/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 14/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 14/10/2010] id: IV #3 D/C Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 14/10/2010] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 14/10/2010] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: RU Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 14/10/2010] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 14/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 171 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [16:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 14/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [16:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [19:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [19:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [19:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 14/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 265 vu: ml t0: [20:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [20:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 400 vu: ml t0: [20:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 63.72 vu: ml t0: [20:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [19:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 14/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [20:00:00 14/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [20:00:00 14/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 14/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 14/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 14/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 14/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 14/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 14/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:00:00 14/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 14/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [20:00:00 14/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 14/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 14/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 14/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Clear v2: Thin st: NotStopd t0: [20:00:00 14/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 14/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 604 u1: ml/B st: NotStopd t0: [20:00:00 14/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 14/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 14/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 14/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [20:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 14/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 14/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [21:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [21:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [20:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 14/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 14/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 14/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [20:00:00 14/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 14/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 14/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 14/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 14/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 14/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [22:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [22:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [22:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 14/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [23:00:00 14/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [23:00:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:20:00 14/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:20:00 14/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:20:00 14/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:20:00 14/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:20:00 14/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:20:00 14/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:20:00 14/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:20:00 14/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:20:00 14/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:20:00 14/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [00:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [00:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 15/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [00:00:00 15/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [00:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 14/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 14/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml nb: 1 t0: [23:00:00 14/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [00:00:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [00:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [00:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [23:00:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:20:00 14/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 15/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [01:00:00 15/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [01:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [01:00:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [01:00:00 15/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 15/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 15/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [01:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [01:00:00 15/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:00:00 15/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [01:00:00 15/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.73 u1: L/min st: NotStopd t0: [01:00:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 15/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 15/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [01:00:00 15/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 15/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 15/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 15/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 15/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [01:00:00 15/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 602 u1: ml/B st: NotStopd t0: [01:00:00 15/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:00:00 15/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [01:00:00 15/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [01:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [01:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [02:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 191 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [02:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg st: NotStopd t0: [02:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [01:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [02:00:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [02:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [01:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [19:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 14/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [19:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [19:00:00 14/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [19:00:00 14/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [19:00:00 14/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [19:00:00 14/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [19:00:00 14/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [19:00:00 14/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [19:00:00 14/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 14/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 14/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 14/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Paralytic Med st: NotStopd t0: [20:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 14/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 14/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 14/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 14/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 14/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 14/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 14/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 14/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 14/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 14/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [22:00:00 14/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 14/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 14/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 14/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 14/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 14/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 14/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 14/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 14/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 14/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 14/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Paralytic Med st: NotStopd t0: [22:00:00 14/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 14/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 14/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 14/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 14/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 14/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [22:00:00 14/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 14/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 14/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [22:00:00 14/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 14/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 14/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 14/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 14/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 14/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 14/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 14/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [22:00:00 14/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 14/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 15/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 15/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 15/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Redness st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 15/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 15/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 15/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 15/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 15/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 15/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Paralytic Med st: NotStopd t0: [00:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 15/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 15/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 15/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 15/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 15/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 15/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 15/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 15/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [00:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 15/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [02:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [02:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [03:00:00 15/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [03:00:00 15/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: Done t0: [03:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 15/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [03:00:00 15/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [03:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [03:00:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [03:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [03:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [03:00:00 15/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Redness st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [03:00:00 15/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 15/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [03:00:00 15/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [03:00:00 15/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [03:00:00 15/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 15/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 15/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 15/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Paralytic Med st: NotStopd t0: [03:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 15/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [03:00:00 15/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 15/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 15/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [03:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 15/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [03:00:00 15/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [03:00:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 15/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [03:00:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 15/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 15/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [03:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [03:00:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [03:00:00 15/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 15/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 15/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [03:00:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [03:00:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [03:00:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [03:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [03:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [03:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 15/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 15/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 260 cv: 260 ap: none t0: [23:00:00 15/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 350 cv: 4183.47 ap: none t0: [23:00:00 15/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 360 cv: 4193.47 ap: none t0: [23:00:00 15/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 1725 ap: none t0: [23:00:00 15/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 260 cv: 2468.47 ap: none t0: [23:00:00 15/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 100 cv: 1725 ap: none t0: [23:00:00 15/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 260 cv: 6806.02 ap: none
t0: [05:00:00 15/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [05:00:00 15/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [05:00:00 15/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: PEEP >10 st: NotStopd t0: [05:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 15/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 15/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 15/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [05:00:00 15/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:00:00 15/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 15/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [05:00:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 15/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 15/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:00:00 15/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [05:00:00 15/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 15/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 15/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 15/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 15/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 605 u1: ml/B st: NotStopd t0: [05:00:00 15/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 15/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:00:00 15/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:10:00 15/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [06:10:00 15/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:10:00 15/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:10:00 15/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [06:10:00 15/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 187 u1: mmHg rs: Final st: NotStopd t0: [06:10:00 15/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [00:00:00 15/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 85 rs: Manual st: NotStopd t0: [04:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 15/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 15/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [04:00:00 15/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [04:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [05:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [06:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 115 rs: Manual st: NotStopd
t0: [04:00:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [04:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [04:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [05:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [05:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [06:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [06:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [04:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [07:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [07:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [07:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [07:00:00 15/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [07:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [07:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [07:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [07:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 15/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [03:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [03:00:00 15/10/2010] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [03:00:00 15/10/2010] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [04:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [05:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [06:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [07:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd
t0: [06:00:00 15/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 24.7 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 24.7 rs: Final st: NotStopd
t0: [06:00:00 15/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 8.1 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [06:00:00 15/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 193 rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 15/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [08:00:00 15/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 15/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 15/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 15/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [08:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 15/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 15/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 15/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [08:00:00 15/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [08:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 15/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 15/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 15/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 15/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 15/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [08:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [08:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [08:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:15:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:15:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:15:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:15:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:15:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [08:15:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 185 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:15:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [08:15:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:15:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [08:15:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:15:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:30:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:30:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:30:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [08:30:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:30:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:30:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [08:30:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:30:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:15:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 15/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 15 t0: [09:00:00 15/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [09:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [09:00:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [09:00:00 15/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 15/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 15/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [09:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [09:00:00 15/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [09:00:00 15/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [09:00:00 15/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [09:00:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 15/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [09:00:00 15/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [09:00:00 15/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [09:00:00 15/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [09:00:00 15/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:00:00 15/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [09:00:00 15/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Clear v2: Thick st: NotStopd t0: [09:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 15/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 617 u1: ml/B st: NotStopd t0: [09:00:00 15/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [09:00:00 15/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [09:00:00 15/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [09:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 15/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [09:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [09:00:00 15/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 15/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 15/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 15/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 15/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [09:00:00 15/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 15/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [09:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 15/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [09:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [09:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [10:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [10:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [10:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [10:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [10:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:35:00 15/10/2010] id: ETT Position Change el: 0 cu: MICU-A cg: RRT v1: Done st: NotStopd
t0: [10:40:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:40:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd
t0: [11:00:00 15/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [11:00:00 15/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [11:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 183 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [11:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [11:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [11:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [11:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [11:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:30:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:30:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 184 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:30:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [11:30:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [11:30:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:30:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:20:00 15/10/2010] id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 6.2 rs: Final st: NotStopd t0: [12:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [12:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [12:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 15/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 15/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 15/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 150 rs: Manual st: NotStopd
t0: [12:00:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [12:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [12:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [12:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:30:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
t0: [12:30:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:30:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:30:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:30:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [12:30:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [12:30:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:30:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 15/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 15/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 15/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 15/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 15/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 15/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 15/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 15/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 15/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 15/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [12:45:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:45:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:45:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:45:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:45:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:45:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [12:45:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [12:45:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:45:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:45:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [13:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [13:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [13:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [13:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 15/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [13:00:00 15/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [13:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 15/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 15/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 15/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [13:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [13:00:00 15/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [13:00:00 15/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [13:00:00 15/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [13:00:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [13:00:00 15/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [13:00:00 15/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [13:00:00 15/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [13:00:00 15/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 15/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 15/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:00:00 15/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 15/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 607 u1: ml/B st: NotStopd t0: [13:00:00 15/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [13:00:00 15/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [13:00:00 15/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 15/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 15/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [14:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [14:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [14:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [14:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [14:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [14:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 15/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [16:00:00 15/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 15/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 15/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [16:00:00 15/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [16:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [16:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 31.86 vu: ml t0: [16:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 15/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [16:00:00 15/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [16:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 15/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 15/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 15/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [16:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [16:00:00 15/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 15/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:00:00 15/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [16:00:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 15/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 15/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [16:00:00 15/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 15/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 15/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 15/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 15/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Clear v2: Thick st: NotStopd t0: [16:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 15/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 604 u1: ml/B st: NotStopd t0: [16:00:00 15/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 15/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:00:00 15/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [17:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [17:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 15/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [17:00:00 15/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 15/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [17:00:00 15/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 15/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [17:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [17:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [17:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:00:00 15/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [17:00:00 15/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 15/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 15/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 15/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 15/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 15/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 15/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 15/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [17:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 15/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [17:00:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 15/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [17:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [17:00:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [17:00:00 15/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [17:00:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [17:00:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [17:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [17:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [18:00:00 15/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 15/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [18:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [18:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [18:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [18:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [18:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [18:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 16/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 95 rs: Manual st: NotStopd
t0: [21:00:00 15/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [21:00:00 15/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [21:00:00 15/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 15/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 15/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:00:00 15/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 15/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 15/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 15/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [21:00:00 15/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [21:00:00 15/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:00:00 15/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [21:00:00 15/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [21:00:00 15/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 15/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 15/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [21:00:00 15/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [21:00:00 15/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 15/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 15/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 15/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 15/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [21:00:00 15/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [21:00:00 15/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 604 u1: ml/B st: NotStopd t0: [21:00:00 15/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:00:00 15/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 15/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:00:00 15/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [00:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [00:00:00 16/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [00:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [00:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [00:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 16/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 16/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 16/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 16/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 16/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 618 u1: ml/B st: NotStopd t0: [00:00:00 16/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 16/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
io: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: Impact w/fiber el: 1 cu: MICU-A cg: RN io: Impact w/fiber 225.0str IV Infusions vo: 225 du: str rt: Gastric/Feeding Tube
t0: [21:30:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:30:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:30:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:30:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:30:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:30:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:30:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [21:30:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:30:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:30:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:45:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:45:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:45:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:45:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:45:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:45:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:45:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:45:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:45:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:45:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [21:45:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:45:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [21:45:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:45:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:45:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [22:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [22:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 15/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [22:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [22:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:15:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:15:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:15:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:15:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:15:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:15:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:15:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:15:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:15:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [22:15:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:15:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:15:00 15/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:15:00 15/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [22:15:00 15/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [22:15:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:30:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:30:00 15/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:30:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:30:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:30:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:30:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:30:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:30:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [22:30:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:30:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [23:00:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [23:00:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 15/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:30:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 15/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:30:00 15/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 15/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 15/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:30:00 15/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 15/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:30:00 15/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [23:30:00 15/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:30:00 15/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [23:30:00 15/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:30:00 15/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 15/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [00:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [00:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [01:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [01:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [02:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [02:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 16/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 16/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [02:00:00 16/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [02:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:45:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:15:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:30:00 15/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN st: NotStopd t0: [21:30:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:30:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:30:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:30:00 15/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Arteriogram st: NotStopd t0: [21:30:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:30:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [21:30:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [21:30:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:30:00 15/10/2010] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [21:30:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [21:30:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [21:30:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [21:30:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [21:30:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:30:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [21:30:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:30:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [21:30:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:45:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:45:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 15/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 15/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: Done t0: [22:00:00 15/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [22:00:00 15/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 15/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 15/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [22:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 15/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [22:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 15/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [22:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 15/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 15/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 15/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 15/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 15/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 15/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 15/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 15/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 15/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 15/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 15/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 15/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 15/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 15/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [22:00:00 15/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 15/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 15/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 15/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [22:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 15/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 15/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 15/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 15/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 15/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 15/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 15/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 15/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 15/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [22:00:00 15/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [22:00:00 15/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [22:15:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:15:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [22:30:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:30:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 15/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [23:00:00 15/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [23:00:00 15/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 15/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 15/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:00:00 15/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [23:00:00 15/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [23:00:00 15/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:00:00 15/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [23:00:00 15/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 15/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 15/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [23:00:00 15/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:00:00 15/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [23:00:00 15/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 15/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 15/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:00:00 15/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 15/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 16/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 16/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 16/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [01:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [01:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [01:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [01:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [01:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [01:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [01:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [01:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [01:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [01:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 16/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 16/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [02:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 16/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [02:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 16/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [02:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 16/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [02:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [02:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 16/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [02:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [02:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [02:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [02:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [02:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [01:00:00 16/10/2010] tf: [16:00:00 18/10/2010] dt: 3780 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 35 vu: ml t0: [21:30:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 350 vu: ml t0: [21:30:00 15/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 55.8 vu: ml t0: [22:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 385 vu: ml t0: [23:00:00 15/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [23:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [23:00:00 15/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 15/10/2010] tf: [08:00:00 18/10/2010] dt: 3420 id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 15/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [00:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 170 vu: ml t0: [00:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [00:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [01:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [01:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [02:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [02:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 185 vu: ml
t0: [21:30:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:30:00 15/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 15/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 10 ap: none
t0: [03:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [03:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [03:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [03:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [03:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [03:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [03:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 75 cv: 75 ap: none t0: [23:00:00 16/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 84.9828 cv: 84.9828 ap: none t0: [23:00:00 16/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 119.983 cv: 5323.52 ap: none t0: [23:00:00 16/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 159.983 cv: 7353.52 ap: none t0: [23:00:00 16/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 40 cv: 2000 ap: none t0: [23:00:00 16/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 75 cv: 2820 ap: none t0: [23:00:00 16/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 84.9828 cv: 4533.52 ap: none t0: [23:00:00 16/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 75 cv: 2820 ap: none t0: [23:00:00 16/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 84.9828 cv: 11339.5 ap: none
t0: [03:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [22:00:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [23:00:00 15/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [01:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [03:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [03:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [03:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [03:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [03:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [03:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [03:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [03:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [03:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
id: KCL el: 100 cu: MICU-A cg: RN io: D5 Normal Saline 1000.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
io: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 100 ru: ml/hr lo: Left Subclavian
id: D5 Normal Saline el: 1 cu: MICU-A cg: RN io: D5 Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [04:12:00 16/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:12:00 16/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:12:00 16/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:12:00 16/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:12:00 16/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [04:12:00 16/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:12:00 16/10/2010] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.17 rs: Final st: NotStopd
t0: [04:00:00 16/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 16/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [04:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 16/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 16/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [04:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 53.1 vu: ml nb: 1 t0: [02:00:00 16/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [03:00:00 16/10/2010] tf: [18:19:00 27/10/2010] dt: 16759 id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vu: ml nb: 1 t0: [03:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [04:00:00 16/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [04:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [04:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [04:00:00 16/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [04:00:00 16/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [04:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.95 u1: L/min st: NotStopd t0: [04:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 16/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 16/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 16/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 16/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 16/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 16/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 16/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 603 u1: ml/B st: NotStopd t0: [04:00:00 16/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 16/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 16/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.9 u1: % rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 204 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.43 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd
t0: [04:00:00 16/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 6.5 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:00:00 16/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 16/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd
t0: [22:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [22:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [23:00:00 15/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [23:00:00 15/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [23:00:00 15/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [23:00:00 15/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [01:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [02:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [02:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [02:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [05:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [05:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [05:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 16/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [06:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [06:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [06:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [06:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [06:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [06:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 16/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [06:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [06:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [06:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [06:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [06:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [06:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [06:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [05:00:00 16/10/2010] tf: [18:19:00 27/10/2010] dt: 16639 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 20 vu: ml t0: [05:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [05:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 135 vu: ml t0: [06:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [06:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [06:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [05:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [07:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [07:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [07:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [07:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [07:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [07:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [07:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [07:00:00 16/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [07:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [07:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [07:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [07:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [07:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 16/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:00:00 16/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [07:00:00 16/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 16/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 16/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 16/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:00:00 16/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 16/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [08:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 16/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [08:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [08:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 16/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 16/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [07:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [08:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [08:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [08:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [08:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 16/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml
t0: [08:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml
t0: [09:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [09:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [09:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [09:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [09:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [09:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [09:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 16/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [10:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [10:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [10:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [10:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [10:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [10:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [10:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 16/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [10:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [10:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [10:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [11:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 16/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [11:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [10:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [10:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [10:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [11:00:00 16/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 40 u1: ml/cmH st: NotStopd t0: [11:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [11:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [11:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [11:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [11:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:00:00 16/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [11:00:00 16/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:00:00 16/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 16/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [11:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 16/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [11:00:00 16/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:00:00 16/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [11:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [11:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [12:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 16/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 16/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 16/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [12:00:00 16/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [12:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [12:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 21.24 vu: ml t0: [12:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [12:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [11:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [12:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [12:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [13:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [13:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 16/10/2010] tf: [20:00:00 16/10/2010] dt: 480 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [13:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [13:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [12:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:57:00 16/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [13:57:00 16/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:57:00 16/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [13:57:00 16/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [13:57:00 16/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [13:57:00 16/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [12:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [12:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [12:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [12:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 16/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [12:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 16/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg st: NotStopd t0: [14:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [14:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [15:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [15:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [16:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [16:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [16:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [16:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 16/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 16/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 16/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [16:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [16:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 31.86 vu: ml t0: [16:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 960 vu: ml t0: [16:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [14:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [16:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [16:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [16:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [16:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 16/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [16:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [16:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 16/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 487 u1: ml/B st: NotStopd t0: [16:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 16/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 16/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 16/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Other Remarks st: NotStopd t0: [16:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 16/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 16/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 16/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml
t0: [16:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [16:15:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 300 vu: ml
t0: [17:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [17:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [17:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [17:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [18:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [18:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [18:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [18:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [18:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 16/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 16/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [18:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [18:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [18:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 16/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [18:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [18:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [18:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [18:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [18:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 19.9656 vu: ml t0: [18:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 640 vu: ml t0: [18:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [17:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 16/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 113 rs: Manual st: NotStopd t0: [18:00:00 16/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 147 rs: Manual st: NotStopd
t0: [19:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [19:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [19:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 16/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vu: ml t0: [19:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [19:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [19:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [19:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [19:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vu: ml t0: [18:00:00 16/10/2010] id: D5 Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vu: ml
t0: [20:00:00 16/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 16/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 16/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [20:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [20:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 16/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 16/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [20:00:00 16/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [20:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [20:00:00 16/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 30 vu: ml t0: [20:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 275 vu: ml
t0: [20:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 16/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 30 ap: none
t0: [20:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [20:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [20:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [20:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 16/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [20:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 16/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 16/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 16/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 558 u1: ml/B st: NotStopd t0: [20:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 16/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 16/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 16/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 16/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 16/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 16/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 16/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 16/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 16/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 16/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 16/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 16/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 16/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 16/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [21:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [21:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [21:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [21:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 16/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [22:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [22:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [22:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [22:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [22:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [22:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 16/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 16/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 16/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [22:00:00 16/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 16/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 16/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 16/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 16/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [22:00:00 16/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [22:00:00 16/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 16/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 16/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [22:00:00 16/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 16/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 16/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 16/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 16/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 16/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 16/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 16/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 16/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 16/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [22:00:00 16/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 16/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [22:00:00 16/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 16/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [22:00:00 16/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 16/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 16/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 16/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 16/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 16/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [22:00:00 16/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 16/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 16/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [22:00:00 16/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 16/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 16/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [23:00:00 16/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [23:00:00 16/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [23:00:00 16/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 16/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:00:00 16/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:00:00 16/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [23:00:00 16/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 16/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [23:00:00 16/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [23:00:00 16/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [23:00:00 16/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [23:00:00 16/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [23:00:00 16/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 16/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [23:00:00 16/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [23:00:00 16/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [23:00:00 16/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 16/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [23:00:00 16/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [23:00:00 16/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 16/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 587 u1: ml/B st: NotStopd t0: [23:00:00 16/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [23:00:00 16/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 16/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 16/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 16/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 16/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [23:00:00 16/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 16/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 16/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 16/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [23:00:00 16/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 16/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 17/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [00:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [00:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [19:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 16/10/2010] tf: [20:00:00 23/10/2010] dt: 9960 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [21:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 16/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [23:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 16/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 16/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [23:00:00 16/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [23:00:00 16/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml t0: [00:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [00:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [23:00:00 16/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 17/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 17/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [01:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [01:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [01:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 17/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [01:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 275 vu: ml t0: [00:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [01:00:00 17/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 300 vu: ml t0: [01:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [01:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [01:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 235 vu: ml
t0: [01:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:47:00 17/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.17 rs: Final st: NotStopd t0: [02:47:00 17/10/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd
t0: [00:00:00 17/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 17/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 17/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 17/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 17/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 17/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 17/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 17/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 17/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 17/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 17/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 17/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 17/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [02:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [02:00:00 17/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [02:00:00 17/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [02:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [02:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 17/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [02:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [02:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [02:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [02:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [02:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [02:00:00 17/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 17/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 17/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 17/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 17/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 17/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [02:00:00 17/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [03:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [03:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 17/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:00:00 17/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:00:00 17/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 17/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [03:00:00 17/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 17/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 90.3 u1: kg st: NotStopd t0: [03:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [02:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [03:00:00 17/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [03:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [03:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [03:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 135 vu: ml
t0: [02:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 17/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 17/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -45.0172 cv: -45.0172 ap: none t0: [23:00:00 17/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 24.9828 cv: 2946.62 ap: none t0: [23:00:00 17/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 64.9828 cv: 3976.62 ap: none t0: [23:00:00 17/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 40 cv: 1030 ap: none t0: [23:00:00 17/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 110 cv: 3065 ap: none t0: [23:00:00 17/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -45.0172 cv: 906.621 ap: none t0: [23:00:00 17/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 110 cv: 3070 ap: none t0: [23:00:00 17/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -45.0172 cv: 12246.2 ap: none
t0: [02:45:00 17/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.8 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.8 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.2 u1: % rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 220 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.37 u1: /mic l rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.8 rs: Final st: NotStopd
t0: [02:45:00 17/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 30.6 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 30.6 rs: Final st: NotStopd
t0: [02:45:00 17/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [02:45:00 17/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:00:00 17/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [04:00:00 17/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT st: NotStopd t0: [04:00:00 17/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 17/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 17/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 17/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 17/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 17/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 17/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [04:00:00 17/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 17/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:00:00 17/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 17/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.33 u1: L/min st: NotStopd t0: [04:00:00 17/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 17/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 17/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [04:00:00 17/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 17/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 17/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 557 u1: ml/B st: NotStopd t0: [04:00:00 17/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 17/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [03:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 17/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 17/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 17/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [04:00:00 17/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [04:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 17/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 17/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 17/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 17/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 17/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 17/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 17/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [04:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 125 vu: ml
t0: [04:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [06:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 17/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 17/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [05:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [06:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [06:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 17/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [06:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [05:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 17/10/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [07:00:00 17/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [07:00:00 17/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 17/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 17/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 17/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:00:00 17/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 17/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 17/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [07:00:00 17/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [07:00:00 17/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [07:00:00 17/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [07:00:00 17/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [07:00:00 17/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [07:00:00 17/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 17/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [07:00:00 17/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 17/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [07:00:00 17/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 673 u1: ml/B st: NotStopd t0: [07:00:00 17/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [07:00:00 17/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 17/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 17/10/2010] id: Pain Level el: 0 cu: MICU-A cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 17/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 17/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 17/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 17/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 17/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 17/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 17/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 17/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [08:00:00 17/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 17/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 17/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 17/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 17/10/2010] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: Unable to score st: NotStopd t0: [08:00:00 17/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 17/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 17/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 17/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [08:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 17/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 17/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 17/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 17/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 17/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 17/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 17/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [08:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 19.9656 vu: ml t0: [08:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [08:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [08:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 17/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 17/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [09:00:00 17/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [09:00:00 17/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [09:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 350 vu: ml t0: [09:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml st: Stopped t0: [09:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [09:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [09:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [09:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [10:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [10:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 187 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [11:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [10:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [11:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [11:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [11:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 17/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [12:00:00 17/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 17/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 17/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 17/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 17/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 17/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 17/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 17/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 17/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:00:00 17/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 17/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [12:00:00 17/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 17/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 17/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 17/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:00:00 17/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 17/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [12:00:00 17/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 17/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [10:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 17/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 17/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 17/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 17/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 17/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 17/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 17/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 17/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 17/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 17/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [12:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 17/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 17/10/2010] tf: [08:00:00 19/10/2010] dt: 2760 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml
t0: [12:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 17/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 350 vu: ml t0: [12:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [12:50:00 17/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 24.2 rs: Final st: NotStopd t0: [12:50:00 17/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 24.2 rs: Final st: NotStopd
t0: [12:00:00 17/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 17/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [14:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [14:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [14:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [13:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [14:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml
t0: [14:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 17/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [15:00:00 17/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:00:00 17/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 17/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 17/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:00:00 17/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 17/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 17/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [15:00:00 17/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [15:00:00 17/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [15:00:00 17/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:00:00 17/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [15:00:00 17/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:00:00 17/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:00:00 17/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [15:00:00 17/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [15:00:00 17/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [15:00:00 17/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 568 u1: ml/B st: NotStopd t0: [15:00:00 17/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 17/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [15:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [15:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [15:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [15:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 17/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 17/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 17/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 17/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 17/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 17/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 17/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 17/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 17/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 17/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 17/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 17/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 17/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 17/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 17/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 17/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 17/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 17/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 17/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 17/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 17/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [17:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [17:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 17/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 17/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 17/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [17:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 17/10/2010] tf: [18:19:00 27/10/2010] dt: 15019 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [12:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [15:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [17:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [18:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [23:00:00 17/10/2010] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 5 ap: none
t0: [20:00:00 17/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [20:00:00 17/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 17/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 17/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 17/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 17/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 17/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 17/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [20:00:00 17/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:00:00 17/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 17/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 17/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.56 u1: L/min st: NotStopd t0: [20:00:00 17/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 17/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 17/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 17/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 17/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 17/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 17/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 17/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 468 u1: ml/B st: NotStopd t0: [20:00:00 17/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 17/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [19:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [19:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 17/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 17/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [21:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 17/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 17/10/2010] tf: [22:00:00 17/10/2010] dt: 60 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 19.9656 vu: ml t0: [20:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [20:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 325 vu: ml t0: [20:45:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 0 vu: ml t0: [21:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 7 vu: ml t0: [21:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [21:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 195 vu: ml t0: [22:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 17/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 0 vu: ml t0: [22:00:00 17/10/2010] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 209 vo: 0 vu: ml t0: [22:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [22:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [19:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 17/10/2010] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [23:00:00 17/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 17/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 17/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 17/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 17/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 17/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 17/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 17/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 17/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 17/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [00:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 17/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 18/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -32.5 cv: 13826 ap: none
t0: [00:00:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [00:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [00:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [00:00:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [00:00:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 18/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 18/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 18/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [00:00:00 18/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 18/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [03:55:00 18/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [03:55:00 18/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:55:00 18/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [03:55:00 18/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [03:55:00 18/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [03:55:00 18/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [03:30:00 18/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [03:30:00 18/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [05:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:00:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [05:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [05:00:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:00:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [05:00:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:00:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 18/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [05:00:00 18/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 18/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 464 u1: ml/B st: NotStopd t0: [05:00:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 17/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 17/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 17/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 17/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 17/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 17/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 17/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 17/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 17/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 17/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 17/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 17/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: Pinpoint st: NotStopd t0: [20:00:00 17/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 17/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 17/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 17/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 17/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 17/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 17/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 17/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 17/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 18/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 18/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 18/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [02:00:00 18/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [02:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [03:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [05:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [23:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 17/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 17/10/2010] tf: [18:19:00 27/10/2010] dt: 14119 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [23:00:00 17/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [23:00:00 17/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [00:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 300 vu: ml t0: [00:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [00:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 125 vu: ml t0: [01:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [01:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [01:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [01:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 165 vu: ml t0: [02:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 18/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [02:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 225 vu: ml t0: [03:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [03:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [03:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 210 vu: ml t0: [04:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [04:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [05:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [05:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 175 vu: ml
t0: [01:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 17/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 17/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 17/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 17/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 17/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 18/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [01:00:00 18/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [01:00:00 18/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 18/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [01:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 18/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [01:00:00 18/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [03:00:00 18/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 18/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [03:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [03:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [06:00:00 18/10/2010] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT u1: units st: NotStopd t0: [06:00:00 18/10/2010] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT u1: units st: NotStopd
t0: [20:00:00 17/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 17/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 17/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 17/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 17/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 17/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 17/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 17/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 17/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 17/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 17/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 17/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 17/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 17/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 17/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 17/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 17/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 17/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 18/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 18/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 18/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 18/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 18/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 18/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 18/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 18/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 18/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 18/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 18/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 18/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 18/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 18/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 18/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 18/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 18/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 18/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 18/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 18/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 18/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 18/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 18/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 18/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 18/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 18/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 18/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [06:00:00 18/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 18/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 18/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 18/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 18/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 18/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [06:00:00 18/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 18/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 18/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [06:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [06:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [06:00:00 18/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 18/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [06:00:00 18/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [06:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 18/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 18/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 18/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [06:00:00 18/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 18/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 18/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 18/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 18/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 18/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 18/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 18/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [06:00:00 18/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 18/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [06:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 18/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 18/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 18/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [06:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 18/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 18/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [06:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 18/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [06:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [06:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 18/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 18/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 18/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 18/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [06:00:00 18/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [06:00:00 18/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [06:00:00 18/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [06:00:00 18/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [06:00:00 18/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [06:00:00 18/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [06:00:00 18/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [06:00:00 18/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [07:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 18/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [07:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 18/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [07:00:00 18/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [07:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [06:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [07:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 18/10/2010] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 9.9828 vu: ml t0: [07:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [07:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [06:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [08:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [08:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [08:00:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [08:00:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 18/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 18/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 18/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [08:00:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
io: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ra: 50 ru: ml/hr
id: Promote w/fiber el: 1 cu: MICU-A cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [08:00:00 18/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [08:00:00 18/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 18/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 18/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 18/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 18/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 18/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 18/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 18/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 18/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 18/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 18/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 18/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 18/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 18/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 18/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 18/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 18/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 18/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 18/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 18/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 18/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 18/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 18/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 18/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 42 u1: mmHg st: NotStopd t0: [08:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 18/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 18/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 18/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 18/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 18/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 18/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 18/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 18/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 18/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [08:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 18/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 18/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 18/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 18/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 18/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [08:00:00 18/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [08:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 18/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 18/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 18/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 18/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 18/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 18/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 18/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 18/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 18/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 18/10/2010] id: Impact w/fiber 225.0str IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [08:00:00 18/10/2010] tf: [08:00:00 19/10/2010] dt: 1440 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [08:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [08:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [08:45:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [08:45:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:45:00 18/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 8 u1: . st: NotStopd t0: [08:45:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:45:00 18/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 422 u1: ml/B st: NotStopd t0: [08:45:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [09:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 18/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [09:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 350 vu: ml t0: [09:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [09:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 18/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [10:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [12:00:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [12:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [12:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:00:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [12:00:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [12:00:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 18/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 32 u1: BPM st: NotStopd t0: [12:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 18/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 326 u1: ml/B st: NotStopd t0: [12:00:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Support st: NotStopd t0: [12:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
id: Neosynephrine-k el: 200 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:36:00 18/10/2010] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [12:36:00 18/10/2010] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 88.5 u1: kg t0: [12:36:00 18/10/2010] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [12:36:00 18/10/2010] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: SEIZURES t0: [12:36:00 18/10/2010] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [12:36:00 18/10/2010] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [12:36:00 18/10/2010] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [12:36:00 18/10/2010] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [12:36:00 18/10/2010] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [12:36:00 18/10/2010] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [12:36:00 18/10/2010] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [12:36:00 18/10/2010] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [12:36:00 18/10/2010] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [12:30:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:30:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Supravent Tachy st: NotStopd t0: [12:30:00 18/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [12:30:00 18/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: mmHg st: NotStopd t0: [12:30:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:30:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [12:30:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:30:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:30:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 18/10/2010] tf: [15:00:00 18/10/2010] dt: 150 id: Neosynephrine-k el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.451977 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 18/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [12:45:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:45:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:45:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Supravent Tachy st: NotStopd t0: [12:45:00 18/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:45:00 18/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [12:45:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [12:45:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 37 u1: mmHg st: NotStopd t0: [12:45:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 18/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [12:45:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:45:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:45:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 18/10/2010] id: Neosynephrine-k el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.35593 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 141 u1: BPM st: NotStopd t0: [12:45:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [13:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Supravent Tachy st: NotStopd t0: [13:00:00 18/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:00:00 18/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [13:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 700 vu: ml t0: [13:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [13:00:00 18/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [13:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml
t0: [13:00:00 18/10/2010] id: Neosynephrine-k el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.35593 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:53:00 18/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 249 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.42 u1: /mic l rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [12:53:00 18/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 193 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 90 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 137 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 54 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 46 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 90 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 193 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 245 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [12:53:00 18/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 22.7 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [12:53:00 18/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 22.7 rs: Final st: NotStopd
id: Amiodarone el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [14:30:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:30:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [14:30:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:30:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:30:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:30:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 18/10/2010] tf: [18:19:00 27/10/2010] dt: 13189 id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 18/10/2010] id: Neosynephrine-k el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.677966 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:45:00 18/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:45:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:45:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:45:00 18/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [14:45:00 18/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [14:45:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:45:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:45:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:45:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [14:45:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:45:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:45:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:45:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:45:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:45:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:45:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [15:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [15:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [15:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [15:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd
t0: [12:00:00 18/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [14:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [14:30:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vu: ml nb: 1 t0: [15:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [15:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vu: ml nb: 1 t0: [15:00:00 18/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 52.5 vu: ml st: Stopped t0: [15:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [15:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [14:45:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 18/10/2010] id: Neosynephrine-k el: 2 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.677966 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Propofol el: 103 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip
io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
t0: [16:00:00 18/10/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
id: N/A el: 1 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions vo: 100 du: vl rt: Intravenous Push
t0: [12:00:00 18/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 18/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 18/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 18/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 18/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 18/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 18/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 18/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 18/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 18/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 18/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 18/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 18/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 18/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 18/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 18/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 18/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 18/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 18/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 18/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 18/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 18/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 18/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 18/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 18/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 18/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 18/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 18/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 18/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 18/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thin st: NotStopd t0: [12:00:00 18/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 18/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 18/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 18/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 18/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [14:00:00 18/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [14:00:00 18/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 18/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 18/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [15:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [15:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [15:00:00 18/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 18/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [15:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 18/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 18/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 18/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 18/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 18/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 18/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 18/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 18/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 18/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 18/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 18/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 18/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 18/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 18/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 18/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 18/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 18/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 18/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 18/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 18/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 18/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 18/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 18/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 18/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 18/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 18/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 18/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 18/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 18/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 18/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 18/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 18/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 18/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 18/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 18/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 18/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [16:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml st: Stopped t0: [16:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 18/10/2010] tf: [15:00:00 20/10/2010] dt: 2820 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [16:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [16:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/10/2010] id: Neosynephrine-k el: 2 cu: MICU-A cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [16:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/10/2010] tf: [18:19:00 27/10/2010] dt: 13099 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:30:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 16 t0: [12:30:00 18/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [12:30:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:30:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:30:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:30:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:30:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:30:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:30:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:30:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:30:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:30:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9 u1: L/min st: NotStopd t0: [12:30:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:30:00 18/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:30:00 18/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:30:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:30:00 18/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:30:00 18/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [12:30:00 18/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [12:30:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:30:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:30:00 18/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [18:00:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [18:00:00 18/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [18:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:00:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [18:00:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [18:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [18:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [18:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [18:00:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [18:00:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [18:00:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [18:00:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [18:00:00 18/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [18:00:00 18/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [18:00:00 18/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [18:00:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [18:00:00 18/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [18:00:00 18/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [18:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [18:00:00 18/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [18:00:00 18/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [18:00:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [18:00:00 18/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 18/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [20:00:00 18/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [20:00:00 18/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 18/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 18/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 18/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 18/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 18/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 18/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [20:00:00 18/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:00:00 18/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 18/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 18/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [20:00:00 18/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 18/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 18/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 18/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 18/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [20:00:00 18/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 18/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 18/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [20:00:00 18/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 18/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 18/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 626 u1: ml/B st: NotStopd t0: [20:00:00 18/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 18/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 18/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 18/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [19:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [19:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:00:00 18/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 18/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 18/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [20:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [19:00:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 75 vu: ml t0: [19:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 150 vu: ml t0: [20:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [20:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [21:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [21:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [21:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [21:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [19:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [19:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [19:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 18/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 18/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 18/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 18/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 18/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 18/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 18/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 18/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 18/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 18/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 18/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 18/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 18/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 18/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 18/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 18/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 18/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 18/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 18/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 18/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 18/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 18/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 18/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 18/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 18/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [22:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 18/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 18/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 18/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [18:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [19:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 18/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [01:00:00 19/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [01:00:00 19/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [01:00:00 19/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [01:00:00 19/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 19/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 19/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 19/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 19/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 19/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [01:00:00 19/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [01:00:00 19/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:00:00 19/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 19/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.43 u1: L/min st: NotStopd t0: [01:00:00 19/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 19/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 19/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [01:00:00 19/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [01:00:00 19/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 19/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 19/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 19/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 19/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [01:00:00 19/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:00:00 19/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 19/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [01:00:00 19/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 18/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 18/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 18/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 18/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 18/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 18/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 18/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 18/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [23:00:00 18/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 18/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 18/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 18/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 18/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 18/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 18/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [23:00:00 18/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 18/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 18/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 18/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 18/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 18/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 18/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 18/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 18/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 18/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 19/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 19/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 19/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 19/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 19/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 19/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 19/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 19/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 19/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 19/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 19/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 19/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 19/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 19/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 19/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 19/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 19/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 19/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 19/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 19/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 19/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 19/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 19/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 19/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 19/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 19/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 19/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 19/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 19/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 19/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 19/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 19/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 19/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 19/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 19/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 19/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 19/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 19/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 143 rs: Manual st: NotStopd t0: [00:00:00 19/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [01:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 19/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 19/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [02:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 19/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 19/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [02:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 19/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 19/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 19/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 19/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 19/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 19/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 19/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 19/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 19/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [02:00:00 19/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [02:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 18/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 18/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [23:00:00 18/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [00:00:00 19/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [00:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [01:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [01:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [02:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [23:00:00 18/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 18/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 18/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -32.5 cv: -32.5 ap: none t0: [23:00:00 18/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 17.5 cv: 2604.86 ap: none t0: [23:00:00 18/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 67.5 cv: 3724.86 ap: none t0: [23:00:00 18/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1120 ap: none t0: [23:00:00 18/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 2145 ap: none t0: [23:00:00 18/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -32.5 cv: 1579.86 ap: none t0: [23:00:00 18/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 100 cv: 2145 ap: none t0: [23:00:00 19/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 19/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 19/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 685 ap: none t0: [23:00:00 19/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1065 ap: none t0: [23:00:00 19/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 350 ap: none t0: [23:00:00 19/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 945 ap: none t0: [23:00:00 19/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 120 ap: none t0: [23:00:00 19/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 945 ap: none t0: [23:00:00 19/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 13946 ap: none
t0: [04:00:00 19/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [04:00:00 19/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [04:00:00 19/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 19/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 19/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 19/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 19/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 19/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 19/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [04:00:00 19/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 19/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:00:00 19/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 19/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [04:00:00 19/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 19/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 19/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 19/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 19/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 19/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 19/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 19/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 19/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 19/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 19/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 606 u1: ml/B st: NotStopd t0: [04:00:00 19/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 19/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 19/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 19/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [03:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 19/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 19/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 19/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [04:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [04:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 155 vu: ml
t0: [00:00:00 19/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [04:00:00 19/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 19/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 19/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 19/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 19/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 19/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 19/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 19/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 19/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 19/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 19/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 19/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 19/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 19/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 19/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 19/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 19/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 19/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 19/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 19/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 19/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 19/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 19/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 19/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 19/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 19/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 19/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 19/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 19/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 19/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 19/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 19/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [05:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 19/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 19/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [05:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 19/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 19/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 19/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 19/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [06:00:00 19/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 19/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 19/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 19/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 19/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 19/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 19/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [06:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 112 rs: Manual st: NotStopd
t0: [05:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [06:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [06:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [06:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:30:00 19/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.1 u1: % rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 237 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.8 rs: Final st: NotStopd
t0: [05:30:00 19/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd
t0: [05:30:00 19/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 83 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 51 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 115 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 235 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [05:30:00 19/10/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd
t0: [05:30:00 19/10/2010] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd
id: KCL el: 100 cu: MICU-A cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [08:00:00 19/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [08:00:00 19/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 0 st: D/C'd
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [08:00:00 19/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [08:00:00 19/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [08:00:00 19/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 19/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 19/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 19/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 19/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 19/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 19/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [08:00:00 19/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [08:00:00 19/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 19/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 19/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [08:00:00 19/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 19/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 19/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 19/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 19/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [08:00:00 19/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 19/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 19/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 19/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thin st: NotStopd t0: [08:00:00 19/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 19/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 612 u1: ml/B st: NotStopd t0: [08:00:00 19/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 19/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 19/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 19/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 19/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 19/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 19/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 19/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 19/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 19/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 19/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 19/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 19/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 19/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 19/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [08:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 19/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 19/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 19/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 19/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 19/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 19/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 19/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [08:00:00 19/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg st: NotStopd t0: [08:00:00 19/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 19/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 19/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 19/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 19/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 19/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 19/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 19/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 19/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 19/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 19/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 19/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 19/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 19/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 19/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 19/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 19/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 19/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 19/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 19/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 19/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 19/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 19/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 19/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 19/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 19/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 19/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 19/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 19/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 19/10/2010] tf: [18:19:00 27/10/2010] dt: 12139 id: D5W 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 50 vu: ml t0: [08:00:00 19/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 30 vu: ml t0: [08:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 25 vu: ml t0: [08:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [08:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15.0659 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 30 ap: none
t0: [08:00:00 19/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 19/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [09:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [09:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [09:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15.0659 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 19/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 19/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:00:00 19/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 19/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 19/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [10:00:00 19/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 19/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [10:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 19/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [10:00:00 19/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 19/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [10:00:00 19/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 19/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:00:00 19/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [10:00:00 19/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 19/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 19/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 19/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 19/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 19/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 19/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [10:00:00 19/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [10:00:00 19/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:00:00 19/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 19/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [10:00:00 19/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 19/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 19/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 19/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 19/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 19/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 19/10/2010] id: D5W 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 50 vu: ml t0: [10:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [10:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 5.08475 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 19/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 19/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 19/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 19/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 19/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [10:00:00 19/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 19/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 19/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 19/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 19/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 19/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 19/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 19/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 19/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 19/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 19/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 19/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 19/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 19/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 19/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [10:00:00 19/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [11:00:00 19/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 19/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 19/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 19/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 19/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 19/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [11:00:00 19/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 19/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 19/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 19/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 19/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [11:00:00 19/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 19/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 5.08475 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 19/10/2010] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 94.1176 u1: units st: NotStopd t0: [11:30:00 19/10/2010] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 94.1176 u1: units st: NotStopd t0: [11:30:00 19/10/2010] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 32 u1: BPM st: NotStopd t0: [11:30:00 19/10/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.34 u1: L st: NotStopd t0: [11:33:00 19/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [11:33:00 19/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:33:00 19/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:33:00 19/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:33:00 19/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:33:00 19/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:33:00 19/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:33:00 19/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [11:33:00 19/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [11:33:00 19/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [11:33:00 19/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [11:33:00 19/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [11:33:00 19/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:33:00 19/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:33:00 19/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [11:33:00 19/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [11:33:00 19/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:33:00 19/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [11:33:00 19/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [11:33:00 19/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:33:00 19/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 496 u1: ml/B st: NotStopd t0: [11:33:00 19/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:33:00 19/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:33:00 19/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:30:00 19/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 120 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 112 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 120 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [10:30:00 19/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [00:11:00 20/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [00:11:00 20/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [00:11:00 20/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [00:11:00 20/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [00:11:00 20/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [00:11:00 20/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [00:00:00 20/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 20/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 20/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 20/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd
t0: [23:00:00 20/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -209.38 cv: 13048.8 ap: none
t0: [05:22:00 20/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [05:22:00 20/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:22:00 20/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:22:00 20/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [05:22:00 20/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [05:22:00 20/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [04:10:00 20/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 23.9 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 23.9 rs: Final st: NotStopd
t0: [04:10:00 20/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [04:10:00 20/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.9 u1: % rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 278 rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.18 u1: /mic l rs: Final st: NotStopd t0: [04:10:00 20/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [07:30:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [07:30:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:30:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:30:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [07:30:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [07:30:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:30:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [07:30:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:30:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [07:30:00 20/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [07:30:00 20/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [07:30:00 20/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [07:30:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:45:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [07:45:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [07:45:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:45:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [07:45:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:45:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:45:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:30:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:45:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:30:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [07:30:00 20/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [07:30:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [07:30:00 20/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [07:30:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [07:30:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [07:30:00 20/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [07:30:00 20/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [07:30:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [07:30:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [07:30:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [07:30:00 20/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [07:30:00 20/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [07:30:00 20/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [07:30:00 20/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [07:30:00 20/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [07:30:00 20/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [07:30:00 20/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [07:30:00 20/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:30:00 20/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [07:30:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [07:50:00 20/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [07:50:00 20/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [07:50:00 20/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:50:00 20/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [07:50:00 20/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:50:00 20/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:50:00 20/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:50:00 20/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 20/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [07:50:00 20/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [07:50:00 20/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [07:50:00 20/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [07:50:00 20/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [07:50:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:50:00 20/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:50:00 20/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:50:00 20/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [07:50:00 20/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:50:00 20/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:50:00 20/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:50:00 20/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:50:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [07:50:00 20/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 573 u1: ml/B st: NotStopd t0: [07:50:00 20/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:50:00 20/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:50:00 20/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:50:00 20/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:26:00 20/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [08:26:00 20/10/2010] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.5682 u1: ml/dl st: NotStopd t0: [08:26:00 20/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [08:26:00 20/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [08:26:00 20/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [08:26:00 20/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [08:26:00 20/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [08:26:00 20/10/2010] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 95 u1: % rs: Final st: NotStopd
t0: [08:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [08:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [08:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:15:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [08:15:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:15:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:15:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:15:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:15:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:30:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [08:30:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:30:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:30:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:30:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [09:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [09:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:15:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 20/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [08:00:00 20/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 20/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 20/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 20/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 20/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 20/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 20/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 20/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 20/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 20/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [08:00:00 20/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 20/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 20/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 20/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 20/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 20/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 20/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [09:00:00 20/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 20/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [08:00:00 20/10/2010] tf: [20:00:00 21/10/2010] dt: 2160 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 20/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 60 vu: ml t0: [08:00:00 20/10/2010] tf: [22:00:00 20/10/2010] dt: 840 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [08:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [09:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [10:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [10:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [08:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [10:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [10:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [11:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [11:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [11:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [11:00:00 20/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [11:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [11:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [12:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [12:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 20/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 20/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 20/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [12:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [12:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 20/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 143 rs: Manual st: NotStopd
t0: [07:00:00 20/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RT v1: FiO2> 60% st: NotStopd t0: [12:00:00 20/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RT v1: 18 t0: [12:00:00 20/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 25 u1: ml/cmH st: NotStopd t0: [12:00:00 20/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 20/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 20/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 45 u1: cmH2O st: NotStopd t0: [12:00:00 20/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 20/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 7.5 mm st: NotStopd t0: [12:00:00 20/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [12:00:00 20/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 34.3 u1: Deg. C st: NotStopd t0: [12:00:00 20/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 20/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 4 st: NotStopd t0: [12:00:00 20/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 20/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13.8 u1: L/min st: NotStopd t0: [12:00:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 20/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RT v1: 20 st: NotStopd t0: [12:00:00 20/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 29 u1: cmH2O st: NotStopd t0: [12:00:00 20/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 20/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 9 u1: BPM st: NotStopd t0: [12:00:00 20/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 20/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 20/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 20/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RT v1: Tan v2: Thick st: NotStopd t0: [12:00:00 20/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 20/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 616 u1: ml/B st: NotStopd t0: [12:00:00 20/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 20/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [12:00:00 20/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: Drager st: NotStopd t0: [12:00:00 20/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [13:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [13:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [13:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 20/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [13:30:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [13:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:35:00 20/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [13:35:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [13:35:00 20/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [13:35:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [13:35:00 20/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 605 u1: ml/B st: NotStopd t0: [13:35:00 20/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 605 u1: ml/B st: NotStopd t0: [13:35:00 20/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [14:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [14:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [14:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [14:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [14:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 20/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Absent v2: Absent st: NotStopd t0: [10:00:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [10:00:00 20/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [10:00:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [10:00:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [10:00:00 20/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 20/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [10:00:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 20/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 20/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 20/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 20/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 20/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [10:00:00 20/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 20/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [10:00:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [15:00:00 20/10/2010] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: MICU-A cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [15:05:00 20/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.2741 u1: ml/dl st: NotStopd t0: [15:05:00 20/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [15:05:00 20/10/2010] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 93 u1: % rs: Final st: NotStopd
t0: [15:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [15:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [15:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 20/10/2010] id: Amiodarone el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:35:00 20/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 16 u1: . st: NotStopd t0: [15:00:00 20/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13.4 u1: L/min st: NotStopd t0: [15:00:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [15:00:00 20/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RT v1: 16 u1: . st: NotStopd t0: [15:00:00 20/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 26 u1: BPM st: NotStopd t0: [15:00:00 20/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RT v1: 520 u1: ml/B st: NotStopd
t0: [16:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [16:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [16:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml t0: [16:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [16:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [16:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:15:00 20/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RT v1: 18 t0: [16:15:00 20/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 30 u1: ml/cmH st: NotStopd t0: [16:15:00 20/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 20cm v2: Lip st: NotStopd t0: [16:15:00 20/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [16:15:00 20/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 45 u1: cmH2O st: NotStopd t0: [16:15:00 20/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 40 u1: BPM st: NotStopd t0: [16:15:00 20/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 7.5 mm st: NotStopd t0: [16:15:00 20/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [16:15:00 20/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT v1: 34.3 u1: Deg. C st: NotStopd t0: [16:15:00 20/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 8 v2: 26 st: NotStopd t0: [16:15:00 20/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 4 st: NotStopd t0: [16:15:00 20/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 15 u1: cmH2O st: NotStopd t0: [16:15:00 20/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 13.6 u1: L/min st: NotStopd t0: [16:15:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [16:15:00 20/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RT v1: 20 st: NotStopd t0: [16:15:00 20/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 28 u1: cmH2O st: NotStopd t0: [16:15:00 20/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 27 u1: cmH2O st: NotStopd t0: [16:15:00 20/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 8 u1: BPM st: NotStopd t0: [16:15:00 20/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 22 u1: BPM st: NotStopd t0: [16:15:00 20/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 14 u1: BPM st: NotStopd t0: [16:15:00 20/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [16:15:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 93 u1: % st: NotStopd t0: [16:15:00 20/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [16:15:00 20/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [16:15:00 20/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [16:15:00 20/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: Drager st: NotStopd t0: [16:15:00 20/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [17:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [17:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [18:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 178 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [18:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [18:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [18:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [17:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [18:00:00 20/10/2010] id: D5W 50.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 109 vo: 50 vu: ml t0: [18:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [17:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 20/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 117 rs: Manual st: NotStopd
t0: [18:10:00 20/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [18:10:00 20/10/2010] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.4196 u1: ml/dl st: NotStopd t0: [18:10:00 20/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [18:10:00 20/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [18:10:00 20/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [18:10:00 20/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [18:10:00 20/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [18:10:00 20/10/2010] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 94 u1: % rs: Final st: NotStopd
t0: [18:00:00 20/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [18:30:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd
t0: [14:00:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [14:00:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 20/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 20/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 20/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:00:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [18:00:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:23:00 20/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [20:23:00 20/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [20:23:00 20/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [20:23:00 20/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [20:23:00 20/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [20:23:00 20/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [20:00:00 20/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 20/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 20/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 20/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 20/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 20/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 20/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 20/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 20/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 20/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 20/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 20/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 20/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 20/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 20/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 20/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 20/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 20/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 20/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [20:00:00 20/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 20/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 20/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 20/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 20/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 20/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 20/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 20/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 20/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 20/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 20/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 20/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 20/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 20/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 20/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 20/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 20/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 20/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 20/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 20/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 20/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 20/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 20/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 20/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 20/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 20/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 20/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 20/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 20/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 20/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 20/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 20/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 20/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 20/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 20/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [21:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [21:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [20:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml t0: [21:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [21:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [20:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:01:00 20/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [21:01:00 20/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [21:01:00 20/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [21:01:00 20/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:01:00 20/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:01:00 20/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:01:00 20/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [21:01:00 20/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:01:00 20/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:01:00 20/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [21:01:00 20/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:01:00 20/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [21:01:00 20/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14 u1: L/min st: NotStopd t0: [21:01:00 20/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:01:00 20/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:01:00 20/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [21:01:00 20/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [21:01:00 20/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:01:00 20/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [21:01:00 20/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:01:00 20/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:01:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [21:01:00 20/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:01:00 20/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:01:00 20/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:01:00 20/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:01:00 20/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 20/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 20/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 20/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 20/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 20/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 20/10/2010] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [23:00:00 20/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [23:00:00 20/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 20/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 20/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 20/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 20/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 20/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 20/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 20/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:00:00 20/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 20/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 20/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 20/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 20/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 20/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 20/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 40 vu: ml t0: [23:00:00 20/10/2010] tf: [10:00:00 23/10/2010] dt: 3540 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vu: ml st: Stopped t0: [23:00:00 20/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [23:00:00 20/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [23:00:00 20/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml st: Restart t0: [23:00:00 20/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 490 vu: ml
t0: [23:00:00 20/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 490 cv: 490 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 760 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 490 cv: 2865 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 490 cv: 2865 ap: none
t0: [22:00:00 20/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 20/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 21/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [00:00:00 21/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 21/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 21/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 21/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 21/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 21/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 21/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 21/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 21/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:00:00 21/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 21/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 21/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 21/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 21/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 21/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [00:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [00:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 21/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [00:00:00 21/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 35.2941 u1: ml/cmH st: NotStopd t0: [00:00:00 21/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 21/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 21/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 21/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 21/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 21/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 21/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [00:00:00 21/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 21/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [00:00:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 21/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 21/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 21/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:00:00 21/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 21/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 21/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 21/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [00:00:00 21/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 21/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 21/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [00:37:00 21/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [00:37:00 21/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [00:37:00 21/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [00:37:00 21/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [00:37:00 21/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [00:37:00 21/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [00:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [01:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [01:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [01:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 21/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 30 vu: ml t0: [01:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [01:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 430 ap: none
t0: [01:50:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:50:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:50:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:50:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:50:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:50:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:50:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:50:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [01:50:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:50:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:50:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:50:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [02:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg st: NotStopd t0: [02:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [02:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [01:50:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15.0659 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 400 cv: 400 ap: none t0: [23:00:00 21/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 5490 ap: none t0: [23:00:00 21/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 400 cv: 6890 ap: none
t0: [03:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [03:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [03:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/10/2010] tf: [12:00:00 23/10/2010] dt: 3900 id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.6 vu: ml t0: [21:00:00 20/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 15.93 vu: ml t0: [22:00:00 20/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [23:00:00 20/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [00:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [01:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.62 vu: ml t0: [02:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10.1833 vu: ml t0: [03:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [03:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [03:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 20/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -209.38 cv: -209.38 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 230.62 cv: 1107.77 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 280.62 cv: 1967.77 ap: none t0: [23:00:00 20/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -209.38 cv: -897.23 ap: none
t0: [04:39:00 21/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [04:39:00 21/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:39:00 21/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:39:00 21/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:39:00 21/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [04:39:00 21/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [00:00:00 21/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 21/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 21/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 21/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 21/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 21/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 21/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 21/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 21/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 21/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 21/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 21/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 21/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 21/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 21/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 142 rs: Manual st: NotStopd t0: [00:00:00 21/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [03:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [04:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 21/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [04:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [04:00:00 21/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 21/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 21/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 21/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 21/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 21/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [04:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 21/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 21/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 21/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 21/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 21/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 21/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [04:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 21/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 21/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 21/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 21/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 21/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 21/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 21/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 21/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 21/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 21/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 21/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [04:00:00 21/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [04:00:00 21/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 21/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [04:00:00 21/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml t0: [04:00:00 21/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [04:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [04:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [04:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:25:00 21/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.5 u1: % rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 321 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.28 u1: /mic l rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 rs: Final st: NotStopd
t0: [04:00:00 21/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [04:00:00 21/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [04:00:00 21/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 21/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 21/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 21/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 21/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 21/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 21/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 21/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:00:00 21/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [04:00:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 21/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 21/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 21/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 21/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [04:00:00 21/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 21/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 21/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:25:00 21/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [05:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [05:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 30 vu: ml t0: [05:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [05:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml
t0: [05:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [06:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [06:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [06:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [06:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [07:00:00 21/10/2010] id: Temperature C el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [07:37:00 21/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [07:37:00 21/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [07:37:00 21/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:37:00 21/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [07:37:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:37:00 21/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:37:00 21/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:37:00 21/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:37:00 21/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:37:00 21/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [07:37:00 21/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [07:37:00 21/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [07:37:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [07:37:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:37:00 21/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:37:00 21/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [07:37:00 21/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [07:37:00 21/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [07:37:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:37:00 21/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:37:00 21/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:37:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [07:37:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [07:37:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:37:00 21/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [07:37:00 21/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:37:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:37:00 21/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:37:00 21/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:45:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:45:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [07:45:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:45:00 21/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [07:45:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:45:00 21/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [07:45:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [08:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 20 vu: ml t0: [08:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [08:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1200 vu: ml
t0: [07:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [07:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:47:00 21/10/2010] id: ETT Position Change el: 0 cu: MICU-A cg: RRT v1: Done st: NotStopd
t0: [08:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 21/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [08:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [08:00:00 21/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 21/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 21/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 21/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 21/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 21/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 21/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 21/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 21/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 21/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 21/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 21/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 21/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 21/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 21/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 21/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 21/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 21/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 21/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 21/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 21/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 21/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 21/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 21/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 21/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [08:00:00 21/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [08:00:00 21/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 21/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 21/10/2010] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [08:00:00 21/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [08:00:00 21/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 21/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 21/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 21/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 21/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 21/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 21/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 21/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Agitated st: NotStopd t0: [09:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 190 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [09:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [10:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [10:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [10:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 20 vu: ml t0: [10:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [10:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 800 vu: ml
t0: [10:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:45:00 21/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.7 u1: % rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 308 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.55 u1: /mic l rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd
t0: [11:00:00 21/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 131 rs: Manual st: NotStopd
t0: [08:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 21/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [11:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [11:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [11:00:00 21/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 21/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [11:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 21/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [11:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [11:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [11:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:45:00 21/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 47.4 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 47.4 rs: Final st: NotStopd t0: [12:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 21/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 21/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 21/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 21/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 21/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 21/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 21/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 21/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 21/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 21/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 21/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 21/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 21/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 21/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 21/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 21/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 21/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 21/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 21/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 21/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 21/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 21/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 21/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 21/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 21/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 21/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [12:00:00 21/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:45:00 21/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 91 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 91 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd
t0: [12:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [12:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 21/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 21/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [12:00:00 21/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [12:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 21/10/2010] tf: [18:19:00 27/10/2010] dt: 9259 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 90 vu: ml t0: [12:00:00 21/10/2010] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 90 vu: ml t0: [12:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 20 vu: ml t0: [12:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [12:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [12:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 21/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [12:00:00 21/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 21/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 21/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 21/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 21/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 21/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [12:00:00 21/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 21/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:00:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [12:00:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 21/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 21/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 21/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 21/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 21/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [10:45:00 21/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:45:00 21/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [13:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [13:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [13:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [13:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [14:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [14:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [14:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [13:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [15:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [15:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [15:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [15:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml nb: 1 t0: [14:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 20 vu: ml nb: 1
t0: [15:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 21/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [16:00:00 21/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 21/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 21/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 21/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 21/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 21/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 21/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [16:00:00 21/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [16:00:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 21/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 21/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [16:00:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 21/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [16:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [16:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 21/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 21/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 21/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 21/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 21/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 21/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 21/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 21/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [16:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 21/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 21/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 21/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 21/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 21/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 21/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 21/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 21/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 21/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 21/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 21/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [16:00:00 21/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [16:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [16:00:00 21/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 21/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 21/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 21/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 21/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 21/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 21/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 21/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 21/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 21/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 21/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 21/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 21/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 21/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 21/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 21/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 21/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 21/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 21/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 21/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 21/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [16:00:00 21/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [16:00:00 21/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [16:00:00 21/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 21/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [16:00:00 21/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd
t0: [16:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 20 vu: ml t0: [16:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [16:00:00 21/10/2010] tf: [15:01:00 25/10/2010] dt: 5701 id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [16:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [16:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 21/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [16:00:00 21/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [17:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [17:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [17:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [17:00:00 21/10/2010] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [17:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:42:00 21/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [17:42:00 21/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [17:42:00 21/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [17:42:00 21/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [17:42:00 21/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [17:42:00 21/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [18:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [18:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [18:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [18:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [18:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 20 vu: ml t0: [18:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [18:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [18:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 21/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 120 vu: ml
t0: [17:24:00 21/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [17:24:00 21/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [17:24:00 21/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [17:24:00 21/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd
t0: [19:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [19:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [19:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [19:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [19:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [19:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [19:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [19:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 176 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [20:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [20:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 21/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [20:00:00 21/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [20:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [20:00:00 21/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 40 vu: ml t0: [20:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [20:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 21/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 21/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 21/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 21/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 21/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 21/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 21/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 21/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 21/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 21/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 21/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 21/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 21/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 21/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 21/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 21/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 21/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 21/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 21/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 21/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 21/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 21/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 21/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 21/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 21/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 21/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 21/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 21/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [20:00:00 21/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd
t0: [20:00:00 21/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [20:00:00 21/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 21/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 21/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 21/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 21/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 21/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 21/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 21/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:00:00 21/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 21/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [20:00:00 21/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 21/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 21/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [20:00:00 21/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 21/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 21/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 731 u1: ml/B st: NotStopd t0: [20:00:00 21/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 21/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 21/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd
t0: [20:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [21:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml t0: [21:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [21:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml t0: [21:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [22:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 21/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 21/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [22:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [22:00:00 21/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 21/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [22:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 21/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 21/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 21/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 21/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 21/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [22:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [22:00:00 21/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 30 vu: ml t0: [22:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml t0: [22:00:00 21/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [22:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 21/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 21/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [23:00:00 21/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 21/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [23:00:00 21/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [23:00:00 21/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 21/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 21/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 168 rs: Manual st: NotStopd
t0: [22:00:00 21/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 21/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [23:00:00 21/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [23:00:00 21/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 22/10/2010] tf: [01:00:00 22/10/2010] dt: 60 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml t0: [00:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 21/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 60 cv: 1491.42 ap: none t0: [23:00:00 21/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 130 cv: 3171.42 ap: none t0: [23:00:00 21/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 70 cv: 1250 ap: none
t0: [00:00:00 22/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [00:00:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 22/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 22/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 22/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [00:00:00 22/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 22/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [00:00:00 22/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [00:00:00 22/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 22/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 22/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [00:00:00 22/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 21/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [23:00:00 21/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -270 cv: -270 ap: none t0: [23:00:00 21/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -270 cv: -3718.58 ap: none t0: [23:00:00 21/10/2010] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN pv: 400 cv: 1400 ap: none t0: [23:00:00 21/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -270 cv: 9330.2 ap: none
t0: [00:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [00:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 22/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 22/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [00:00:00 22/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [00:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 18.8324 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 21/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 21/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 21/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 21/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 21/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 21/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 21/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 21/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 21/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 22/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 22/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 22/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 22/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 22/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 22/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 22/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 22/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 22/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 22/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 22/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 22/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 22/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 22/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 22/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 22/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 22/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 22/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 22/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 22/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 22/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 22/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [00:00:00 22/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd
t0: [01:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [01:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [01:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [01:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 22/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 22/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 22/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 22/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 22/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 22/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [00:00:00 22/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [01:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 22/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 22/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [01:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [01:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 10 vu: ml
t0: [04:25:00 21/10/2010] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:25:00 21/10/2010] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd
t0: [02:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [02:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [02:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [02:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [03:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [01:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [02:00:00 22/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 7.965 vu: ml t0: [02:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [03:00:00 22/10/2010] tf: [04:00:00 22/10/2010] dt: 60 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 7.965 vu: ml t0: [03:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [03:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [02:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 22/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 22/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 54.248 cv: 54.248 ap: none t0: [23:00:00 22/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 14.248 cv: 894.961 ap: none t0: [23:00:00 22/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 84.248 cv: 2404.96 ap: none t0: [23:00:00 22/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 70 cv: 1460 ap: none t0: [23:00:00 22/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 3510 ap: none t0: [23:00:00 22/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 54.248 cv: -1355.04 ap: none t0: [23:00:00 22/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 30 cv: 3760 ap: none t0: [23:00:00 22/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 54.248 cv: 7975.17 ap: none
t0: [04:00:00 22/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [04:00:00 22/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: PEEP >10 st: NotStopd t0: [04:00:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 22/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 22/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 22/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 22/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 22/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:00:00 22/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [04:00:00 22/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 22/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [04:00:00 22/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 22/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 22/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [04:00:00 22/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [05:22:00 22/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [05:22:00 22/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [05:22:00 22/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:22:00 22/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [05:22:00 22/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [05:22:00 22/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [04:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 22/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 22/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 22/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 22/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 22/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 22/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 22/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [04:00:00 22/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 22/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 22/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 22/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 22/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [04:00:00 22/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 22/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 22/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 22/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 22/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 22/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 22/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 22/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 22/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [04:00:00 22/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [04:00:00 22/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 22/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 22/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [04:00:00 22/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [05:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [05:00:00 22/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [05:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 22/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 22/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 22/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 22/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd
t0: [04:00:00 22/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 7.965 vu: ml t0: [04:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [05:00:00 22/10/2010] tf: [21:00:00 23/10/2010] dt: 2400 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 7.965 vu: ml t0: [05:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [05:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [04:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [05:10:00 22/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 u1: % rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 357 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.08 u1: /mic l rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 rs: Final st: NotStopd
t0: [06:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [06:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 12.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [21:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [22:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [23:00:00 21/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [01:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [02:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [06:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 7.965 vu: ml t0: [06:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml
t0: [06:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd
t0: [05:10:00 22/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:10:00 22/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 23.7 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 23.7 rs: Final st: NotStopd
t0: [07:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 6.6375 vu: ml t0: [07:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [07:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml
t0: [07:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [07:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [07:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [07:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [07:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:45:00 22/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [07:45:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:45:00 22/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:45:00 22/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:45:00 22/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:45:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:45:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:45:00 22/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [07:45:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [07:45:00 22/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [07:45:00 22/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5 u1: L/min st: NotStopd t0: [07:45:00 22/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:45:00 22/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [07:45:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [07:45:00 22/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [07:45:00 22/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:45:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [07:45:00 22/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [07:45:00 22/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [07:45:00 22/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [07:45:00 22/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [07:45:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 22/10/2010] id: Readmit <48 hrs el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [07:30:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [07:30:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:30:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:30:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [07:30:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [07:30:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [07:30:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:30:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:30:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [07:30:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:30:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [07:30:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:30:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:30:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [08:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [08:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [08:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 22/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 22/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [08:00:00 22/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [08:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:30:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:30:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Apneic st: NotStopd t0: [08:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [08:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 22/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 22/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 22/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 22/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 22/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 22/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 22/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Apneic st: NotStopd t0: [08:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 22/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 22/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 22/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 22/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 22/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [08:00:00 22/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd
t0: [08:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.779 vu: ml t0: [08:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 50 vu: ml t0: [08:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 370 vu: ml
t0: [09:03:00 22/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [09:03:00 22/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [09:03:00 22/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [09:03:00 22/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [09:03:00 22/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [09:03:00 22/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [09:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [09:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [09:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:30:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 10 u1: . st: NotStopd
t0: [10:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 8.496 vu: ml t0: [10:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [10:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 290 vu: ml
t0: [09:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [10:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [10:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 22/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 50 vu: ml
t0: [10:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 22/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none
t0: [05:10:00 22/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:10:00 22/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd
t0: [11:01:00 22/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [11:01:00 22/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [11:01:00 22/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [11:01:00 22/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [11:01:00 22/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [11:01:00 22/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [11:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [11:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [11:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [11:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:30:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 33 u1: mmHg st: NotStopd t0: [11:30:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:30:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:30:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [11:30:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:30:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [11:30:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [11:30:00 22/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Thoracentesis st: NotStopd t0: [11:30:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:30:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:30:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 22/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 22/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 22/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 22/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 22/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 22/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 22/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 22/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 22/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [12:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [12:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 22/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 22/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 22/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 22/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 22/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 127 rs: Manual st: NotStopd
t0: [12:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 8.496 vu: ml t0: [12:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [12:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [12:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 22/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [12:00:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 22/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 22/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 22/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [12:00:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [12:00:00 22/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 22/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [12:00:00 22/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [12:00:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 22/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 22/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 22/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 22/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 22/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [12:00:00 22/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [13:10:00 22/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [13:10:00 22/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [13:10:00 22/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [13:10:00 22/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 22/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 22/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [12:10:00 22/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd
t0: [16:00:00 22/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [16:00:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 22/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 22/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:00:00 22/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 22/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [16:00:00 22/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 22/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:00:00 22/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [16:00:00 22/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 22/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [16:00:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 22/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 22/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 22/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 22/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [13:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 191 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg st: NotStopd t0: [14:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [14:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [15:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 171 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [15:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [15:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [16:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [16:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [16:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [16:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [16:00:00 22/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 8.496 vu: ml t0: [14:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [14:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [16:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 8.496 vu: ml t0: [16:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [16:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [13:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 5 u1: . st: NotStopd t0: [14:15:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 10 u1: . st: NotStopd
t0: [12:00:00 22/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 22/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [12:00:00 22/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 22/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 22/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 22/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 22/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 22/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 22/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [12:00:00 22/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 22/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 22/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [14:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 22/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 22/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 22/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 22/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 22/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 22/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 22/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [16:00:00 22/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 22/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 22/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 22/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 22/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 22/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 22/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 22/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [16:00:00 22/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 22/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 22/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [10:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd
t0: [16:47:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd
t0: [16:00:00 22/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 22/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [17:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [17:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [18:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 22/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 135 rs: Manual st: NotStopd
t0: [18:00:00 22/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 8.496 vu: ml t0: [18:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [18:00:00 22/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [18:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [18:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 22/10/2010] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 250 ap: none
t0: [18:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 22/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 22/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 22/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd
t0: [19:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [19:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [19:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 22/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 22/10/2010] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 0-None st: NotStopd t0: [20:00:00 22/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 22/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 22/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 27 u1: mmHg st: NotStopd t0: [20:00:00 22/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 22/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 22/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 22/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 22/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 22/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 22/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 22/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 22/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 22/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 22/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 22/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 22/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 22/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 22/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 22/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [20:00:00 22/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 22/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 22/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 22/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [20:00:00 22/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [20:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 22/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 22/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 22/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 22/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 22/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 22/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 22/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 22/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 22/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [20:00:00 22/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 22/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 22/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [20:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 8.496 vu: ml
t0: [19:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:20:00 22/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [20:20:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:20:00 22/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:20:00 22/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:20:00 22/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:20:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:20:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:20:00 22/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:20:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [20:20:00 22/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [20:20:00 22/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:20:00 22/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [20:20:00 22/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:20:00 22/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [20:20:00 22/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [20:20:00 22/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:20:00 22/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:20:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:20:00 22/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 399 u1: ml/B st: NotStopd t0: [20:20:00 22/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:20:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 22/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 22/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 22/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 22/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 22/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 22/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 22/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 22/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 22/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 22/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 22/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [21:00:00 22/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 22/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [21:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 22/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 22/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [21:00:00 22/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [21:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [21:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [21:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [21:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 22/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 22/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 22/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 22/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 22/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [22:00:00 22/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 22/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [22:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 22/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 22/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 22/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 22/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 22/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [23:00:00 22/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 22/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 22/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 101.4 u1: kg st: NotStopd t0: [23:00:00 22/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 22/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 22/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [22:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [23:00:00 22/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 22/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [23:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [22:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 22/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 23/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [00:00:00 23/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 23/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 23/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 23/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 23/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 23/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 23/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 23/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [00:00:00 23/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 23/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 23/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [00:00:00 23/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 23/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [00:00:00 23/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 23/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 23/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 23/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 514 u1: ml/B st: NotStopd t0: [00:00:00 23/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 23/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 23/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 23/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: DONE t0: [00:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 23/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 23/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 23/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 23/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 23/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [00:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 23/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 23/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 23/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 23/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 23/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 23/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 23/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 23/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 23/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 23/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 23/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 23/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 23/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 23/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 23/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 23/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 23/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 23/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 23/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 169 rs: Manual st: NotStopd
t0: [00:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [00:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [00:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [01:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [01:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 22/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 22/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 23/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 23/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 23/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 23/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 23/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 23/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 23/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 23/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 23/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 23/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 23/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/10/2010] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [00:00:00 23/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 23/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 23/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 23/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 23/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 23/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 23/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 23/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 23/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 23/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [00:00:00 23/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 23/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 23/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [01:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [01:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [02:00:00 23/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 23/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [02:00:00 23/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 23/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [02:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 23/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [02:00:00 23/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 23/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 23/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 23/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [02:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [02:00:00 23/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 23/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [02:00:00 23/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 23/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [02:00:00 23/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [02:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 23/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [02:00:00 23/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [02:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [02:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 23/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 pv: 90 cv: 90 ap: none t0: [23:00:00 23/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: 90 cv: 90 ap: none t0: [23:00:00 23/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 110 cv: 958.32 ap: none t0: [23:00:00 23/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 180 cv: 2148.32 ap: none t0: [23:00:00 23/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: 1663 pv: 70 cv: 1190 ap: none t0: [23:00:00 23/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 pv: 75 cv: 2280 ap: none t0: [23:00:00 23/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 90 cv: -621.68 ap: carryForward t0: [23:00:00 23/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 pv: 90 cv: 2770 ap: carryForward t0: [23:00:00 23/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 90 cv: 7353.49 ap: carryForward
t0: [03:37:00 23/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [03:37:00 23/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [03:37:00 23/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:37:00 23/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [03:37:00 23/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [03:37:00 23/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [03:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [03:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [03:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [03:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [03:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 23/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 23/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 23/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 23/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 23/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 23/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 23/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 23/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 23/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 23/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 23/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 23/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 23/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 23/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 23/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 23/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 23/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 23/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 23/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 23/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [04:00:00 23/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 23/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 23/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 23/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 23/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 23/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 23/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 23/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 23/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 23/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 23/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 23/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 23/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 23/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 23/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 23/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 23/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 23/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [04:00:00 23/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 23/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 23/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 23/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [04:00:00 23/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 23/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 23/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [04:00:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml
t0: [04:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 8 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:25:00 23/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.8 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.8 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.1 u1: % rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 420 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.8 rs: Final st: NotStopd
t0: [04:00:00 23/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [04:00:00 23/10/2010] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 106.227 u1: units st: NotStopd t0: [04:00:00 23/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 23/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 23/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 23/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 23/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 23/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 23/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 23/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [04:00:00 23/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 23/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 23/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [04:00:00 23/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 23/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 25 st: NotStopd t0: [04:00:00 23/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 23/10/2010] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 106.227 u1: units st: NotStopd t0: [04:00:00 23/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 23/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 23/10/2010] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 23/10/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.273 u1: L st: NotStopd t0: [04:00:00 23/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 478 u1: ml/B st: NotStopd t0: [04:00:00 23/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 23/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [03:25:00 23/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [03:25:00 23/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [05:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [05:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [05:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [05:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [05:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [05:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [05:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [06:00:00 23/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 23/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [06:00:00 23/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [06:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [06:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [06:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [06:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 23/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [06:00:00 23/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [06:00:00 23/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 23/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [06:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [06:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 23/10/2010] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear v2: Thick st: NotStopd t0: [06:00:00 23/10/2010] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 23/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [06:00:00 23/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [06:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 23/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [06:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [21:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [22:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [23:00:00 22/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [01:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [02:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [03:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [04:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [05:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [06:00:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 4.248 vu: ml t0: [06:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [06:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [20:00:00 22/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 720 vu: ml
t0: [05:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 7 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 7 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [07:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 3.717 vu: ml t0: [07:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [07:00:00 23/10/2010] tf: [15:01:00 25/10/2010] dt: 3361 id: Chest Tubes Left Pleural 1 el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [07:00:00 23/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [07:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [07:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [07:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [07:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 23/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RN v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [08:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 8 u1: . st: NotStopd t0: [08:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [08:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 3.717 vu: ml t0: [08:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [08:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [07:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 7 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:20:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:20:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [08:20:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:20:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:20:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:20:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:20:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [08:20:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:20:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:20:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [08:20:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:20:00 23/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RN v1: 5 u1: . st: NotStopd t0: [08:20:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [08:20:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:20:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:20:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:20:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 3 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 23/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 23/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [08:00:00 23/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 23/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 23/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 23/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 23/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 23/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 23/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 23/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [08:00:00 23/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 23/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 23/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 23/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 23/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 23/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 23/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 23/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [08:00:00 23/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 23/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 23/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:30:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:30:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg st: NotStopd t0: [08:30:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:30:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:30:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:30:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:30:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:30:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [08:30:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [08:30:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:30:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [08:30:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:30:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:30:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:35:00 23/10/2010] id: High exhaled min vol el: 0 cu: MICU-A cg: RRT v1: 18 t0: [08:35:00 23/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:35:00 23/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:35:00 23/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:35:00 23/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:35:00 23/10/2010] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:35:00 23/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:35:00 23/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:35:00 23/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd t0: [08:35:00 23/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [08:35:00 23/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:35:00 23/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [08:35:00 23/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:35:00 23/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:35:00 23/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [08:35:00 23/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:35:00 23/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:35:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [08:35:00 23/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [08:35:00 23/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:35:00 23/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [09:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [10:12:00 23/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [10:12:00 23/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [10:12:00 23/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [10:12:00 23/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [10:12:00 23/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [10:12:00 23/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [10:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [10:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [10:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [10:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 23/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 23/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [10:00:00 23/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [10:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 1.1505 vu: ml t0: [10:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [11:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [11:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [12:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [12:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 124 rs: Manual st: NotStopd
t0: [12:00:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 0 vu: ml t0: [12:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [11:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 23/10/2010] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 6 st: NotStopd t0: [11:00:00 23/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 23/10/2010] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [11:00:00 23/10/2010] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 8 v2: 26 st: NotStopd
t0: [12:40:00 23/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [12:40:00 23/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [12:40:00 23/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [12:40:00 23/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 23/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 23/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [13:00:00 23/10/2010] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 155 vo: 0 st: D/C'd
t0: [13:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [13:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [13:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [13:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/10/2010] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [10:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Hoyer st: NotStopd t0: [14:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [14:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [14:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [14:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [14:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 23/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 23/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [14:00:00 23/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [14:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 23/10/2010] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [14:00:00 23/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 125 vu: ml t0: [14:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 310 vu: ml
t0: [09:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [10:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [12:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [14:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml
t0: [16:00:00 23/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small
t0: [16:00:00 23/10/2010] id: CVP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 23/10/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 23/10/2010] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 23/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 23/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 23/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 23/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 23/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 23/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 23/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 23/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 23/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 23/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 23/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 23/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 23/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 23/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [16:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 23/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 23/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 23/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 23/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 23/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 23/10/2010] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 23/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [16:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [16:00:00 23/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 23/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 23/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 23/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 23/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 23/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 23/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 23/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 23/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 23/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 23/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 23/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 23/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 23/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 23/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 23/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 23/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 23/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [16:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 23/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 23/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 23/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 23/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [16:00:00 23/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 23/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 23/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 23/10/2010] tf: [21:00:00 23/10/2010] dt: 300 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [16:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [17:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN st: NotStopd t0: [17:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [17:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [17:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:15:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:15:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN st: NotStopd t0: [17:15:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:15:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:15:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:15:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:15:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:15:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:15:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:15:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [17:15:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:15:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:15:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [17:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [17:00:00 23/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [17:00:00 23/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 23/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 23/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 23/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 23/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 23/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 23/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 23/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 23/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 23/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [17:45:00 23/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [18:00:00 23/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [18:00:00 23/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 23/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [18:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 182 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [18:00:00 23/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [18:00:00 23/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 23/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 23/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 23/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 23/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 23/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 23/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:15:00 23/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 144 rs: Manual st: NotStopd
t0: [18:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [18:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [18:15:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [19:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [19:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [19:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [19:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [19:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [20:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:15:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:15:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:15:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:15:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:15:00 23/10/2010] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [21:30:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:30:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:30:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:30:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:30:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:30:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [21:30:00 23/10/2010] id: Radiologic Study el: 0 cu: MICU-A cg: RN st: NotStopd t0: [21:30:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:30:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [21:30:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 23/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 23/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [20:00:00 23/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 23/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 23/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 23/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 23/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 23/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 23/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 23/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 12 u1: points st: NotStopd t0: [20:00:00 23/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 23/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 23/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 23/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 23/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 23/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 23/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 23/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 23/10/2010] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 23/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 23/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [20:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 23/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 23/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 23/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 23/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 23/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 23/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 23/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 23/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 23/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 23/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 23/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 23/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 23/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 23/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 23/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 23/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 23/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 23/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 2 Incomp sounds st: NotStopd t0: [20:00:00 23/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 23/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 23/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 23/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 23/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 23/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 23/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 23/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 23/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 23/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 23/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [20:00:00 23/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 23/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 23/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [22:00:00 23/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: DONE t0: [22:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 23/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 23/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 23/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 23/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 23/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 23/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 23/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 23/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 23/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [22:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 23/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 23/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 23/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 23/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 23/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:00:00 23/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 23/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [23:00:00 23/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 47 u1: mmHg st: NotStopd t0: [23:00:00 23/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [23:00:00 23/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 23/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 23/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [23:00:00 23/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [23:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 24/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 24/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 24/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [00:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 24/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 24/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [00:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 24/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [00:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [00:00:00 24/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 24/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 24/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 24/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 24/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: BehaviorSubsided st: NotStopd t0: [00:00:00 24/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 24/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 24/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 24/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 24/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 24/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 24/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 24/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [01:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [01:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [01:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 48 u1: mmHg st: NotStopd t0: [01:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [01:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 23/10/2010] tf: [18:00:00 27/10/2010] dt: 5460 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 23/10/2010] tf: [21:00:00 24/10/2010] dt: 1320 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [20:00:00 23/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [20:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [21:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [21:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [21:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [22:00:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [22:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [22:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 55 vu: ml t0: [23:00:00 23/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 23/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 23/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [23:00:00 23/10/2010] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [23:00:00 23/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [23:00:00 23/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [23:00:00 23/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml t0: [00:00:00 24/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml t0: [01:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [01:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 23/10/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: 1663 pv: 0 cv: 0 ap: carryForward t0: [23:00:00 23/10/2010] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: 1663 pv: 15 cv: 490 ap: none
t0: [22:00:00 23/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [02:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [02:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [02:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [02:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [01:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [03:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [03:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [03:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [03:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [03:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 24/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 24/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 24/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 790 ap: none t0: [23:00:00 24/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 80 cv: 2495 ap: none t0: [23:00:00 24/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 70 cv: 1610 ap: none t0: [23:00:00 24/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2945 ap: none t0: [23:00:00 24/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 80 cv: -540 ap: carryForward t0: [23:00:00 24/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 3035 ap: carryForward t0: [23:00:00 24/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 80 cv: 6813.49 ap: carryForward
t0: [22:00:00 23/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [22:00:00 23/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [22:00:00 23/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 23/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 23/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [22:00:00 23/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 23/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 23/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 23/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [22:00:00 23/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 23/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 23/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [22:00:00 23/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 23/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 23/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 23/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [22:00:00 23/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [22:00:00 23/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [22:00:00 23/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [22:00:00 23/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [04:00:00 24/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 24/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 24/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 24/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 24/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 24/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 24/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 24/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 24/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 24/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 24/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 24/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 24/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 24/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 24/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 24/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 24/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 24/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [04:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [04:00:00 24/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 24/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 24/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 24/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 24/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 24/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 24/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 24/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 24/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 24/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 24/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: BehaviorSubsided st: NotStopd t0: [04:00:00 24/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 24/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 24/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 24/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 24/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 24/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 24/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 24/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 24/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 24/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 24/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 24/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 24/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 24/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 24/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [04:00:00 24/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 24/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 24/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 24/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [04:00:00 24/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 24/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 24/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [04:00:00 24/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 24/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 45 vu: ml t0: [04:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [04:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [05:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [05:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [05:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [06:00:00 24/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 155 rs: Manual st: NotStopd
t0: [06:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [06:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [06:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [06:00:00 24/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [06:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [06:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [06:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [06:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [06:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [18:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [20:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [21:00:00 22/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 101.4 u1: kg st: NotStopd t0: [21:00:00 22/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [00:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 101.4 u1: kg st: NotStopd t0: [00:00:00 23/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [00:00:00 23/10/2010] id: Weight Change el: 0 cu: MICU-A cg: 1663 v1: -6.3 u1: kg st: NotStopd t0: [00:00:00 23/10/2010] id: calprevflg el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [02:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [06:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [08:30:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [16:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [17:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [17:15:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [18:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [22:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [23:00:00 23/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [00:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [01:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [02:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [03:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [04:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [05:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [06:00:00 24/10/2010] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 95.1 u1: kg st: NotStopd t0: [06:10:00 24/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.4 u1: % rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 449 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd
t0: [06:10:00 24/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.4 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 23.7 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.4 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 23.7 rs: Final st: NotStopd
t0: [06:10:00 24/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [07:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [07:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [07:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [07:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [07:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [08:00:00 24/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 24/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 24/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 24/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 24/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 24/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [08:00:00 24/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 24/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 24/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 24/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 24/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 24/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [08:00:00 24/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 24/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 24/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 24/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 24/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 24/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [08:00:00 24/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 24/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 24/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 24/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [08:00:00 24/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 24/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 24/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 24/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 24/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 24/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [08:00:00 24/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 24/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 24/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 24/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 24/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 24/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 24/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 24/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 24/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 24/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 24/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 24/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 24/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 24/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [08:00:00 24/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 24/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 24/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 24/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 24/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 24/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 24/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 24/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 24/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [08:00:00 24/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 24/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [08:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [08:00:00 24/10/2010] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: RSBI (<100) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: RSBI Not Completed el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: ETT Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: FiO2 Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Airway Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Airway Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: PEEP Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Pressure Support el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: RSBI (<200) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Total PEEP Level el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Ventilator Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 24/10/2010] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:30:00 24/10/2010] id: Micro-Neb Treatment el: 0 cu: MICU-A cg: RRT v1: ALB NEB st: NotStopd t0: [08:30:00 24/10/2010] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd
t0: [09:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 24/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 24/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [09:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 24/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [09:00:00 24/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 24/10/2010] tf: [04:00:00 26/10/2010] dt: 2580 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [09:00:00 24/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [09:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [10:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 24/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [10:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [10:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [11:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [11:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [11:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 24/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 50 vu: ml t0: [10:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [11:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [11:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [23:00:00 24/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 95 ap: none
t0: [12:00:00 24/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 131 rs: Manual st: NotStopd
t0: [06:10:00 24/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [06:10:00 24/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [09:00:00 24/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Restraint DC'd st: NotStopd t0: [12:00:00 24/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 24/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 24/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 24/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 24/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [12:00:00 24/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [12:00:00 24/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 24/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 24/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 24/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 24/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 24/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 24/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 24/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 24/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 24/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 24/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 24/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 24/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [12:00:00 24/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 24/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [12:00:00 24/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 24/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 24/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 24/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/10/2010] id: ROM el: 0 cu: MICU-A cg: RN v1: Active v2: All Extremities st: NotStopd t0: [12:00:00 24/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 24/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 24/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 24/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 24/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 24/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 24/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 24/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 24/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 24/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 24/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 24/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 24/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 24/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 24/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 24/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 24/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 24/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 24/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 24/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 24/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [12:00:00 24/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 24/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 24/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [12:00:00 24/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [12:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [12:00:00 24/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [12:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 24/10/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [12:00:00 24/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [14:59:00 24/10/2010] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [14:59:00 24/10/2010] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 88.5 u1: kg t0: [14:59:00 24/10/2010] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [14:59:00 24/10/2010] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: SEIZURES t0: [14:59:00 24/10/2010] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [14:59:00 24/10/2010] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [14:59:00 24/10/2010] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [14:59:00 24/10/2010] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [14:59:00 24/10/2010] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [14:59:00 24/10/2010] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [14:59:00 24/10/2010] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [14:59:00 24/10/2010] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [14:59:00 24/10/2010] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [13:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [13:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [13:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [13:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [14:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [14:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [14:00:00 24/10/2010] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [14:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:15:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:15:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:15:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:15:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:15:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [15:15:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:15:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [15:15:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:15:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:15:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 24/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [16:00:00 24/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 24/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 24/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 24/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 24/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 24/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 24/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 24/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 24/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 24/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 24/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [16:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 24/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 24/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 24/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 24/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 24/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 24/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 24/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [16:00:00 24/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [16:00:00 24/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 24/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 24/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [16:00:00 24/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 24/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 24/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 24/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 24/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 24/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 24/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 24/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [16:00:00 24/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 24/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 24/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 24/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 24/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 24/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 24/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 24/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 24/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 24/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 24/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 24/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 24/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 24/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 24/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 24/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 24/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 24/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 24/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [16:00:00 24/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [16:00:00 24/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 24/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 24/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [16:00:00 24/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 24/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 24/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [14:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [14:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [16:00:00 24/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [16:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [17:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [17:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [17:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [18:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [18:11:00 24/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 154 rs: Final st: NotStopd t0: [18:11:00 24/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd
t0: [18:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [18:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 95.1 u1: kg st: NotStopd t0: [18:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 24/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 24/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 24/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 24/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 24/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 24/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 24/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 24/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 24/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 24/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [20:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [20:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 24/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 24/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 24/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 24/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 24/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 24/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 24/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 24/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 24/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/10/2010] id: ROM el: 0 cu: MICU-A cg: RN v1: Active v2: All Extremities st: NotStopd t0: [20:00:00 24/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 24/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 24/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 24/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 24/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 24/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 24/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 24/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [21:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [21:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 24/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 24/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 24/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 24/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [22:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [22:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [22:00:00 24/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 24/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 24/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [22:00:00 24/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 24/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 24/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [22:00:00 24/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 24/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 24/10/2010] id: ROM el: 0 cu: MICU-A cg: RN v1: Active v2: All Extremities st: NotStopd t0: [22:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 24/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 24/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 24/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 24/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 24/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:00:00 24/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 24/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 24/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [23:00:00 24/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 24/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 24/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [00:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Wound st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PO Med v2: PO Med st: NotStopd t0: [00:00:00 25/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [00:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 25/10/2010] id: ROM el: 0 cu: MICU-A cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [00:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 25/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 25/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [00:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 24/10/2010] tf: [18:00:00 27/10/2010] dt: 4080 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [20:00:00 24/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 900 vu: ml t0: [21:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [22:00:00 24/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [23:00:00 24/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 24/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml
t0: [20:00:00 24/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 24/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 24/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 24/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 24/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 24/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 24/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 24/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 24/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 24/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 24/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 24/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 24/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 24/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 24/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 24/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 24/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 24/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [20:00:00 24/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 24/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [20:00:00 24/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 24/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 24/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [00:00:00 25/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 25/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 25/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 25/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 25/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 25/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 25/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 25/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 25/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 25/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 25/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 25/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 25/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 25/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 25/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 25/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 25/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 25/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 25/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 25/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 25/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 25/10/2010] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 25/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 25/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 25/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 25/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 25/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 25/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 25/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [00:00:00 25/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [00:00:00 25/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 25/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [00:00:00 25/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 25/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 25/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [01:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [01:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [01:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Wound st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 1-None to Mild st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [01:00:00 25/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Aching st: NotStopd t0: [01:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [01:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [01:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 210 vu: ml t0: [01:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [01:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [02:00:00 25/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [02:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 181 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:00:00 25/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [02:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [02:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [02:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 425 vu: ml
t0: [02:10:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:10:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:10:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Agitated st: NotStopd t0: [02:10:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:10:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:10:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:10:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:10:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:10:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:10:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:10:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [02:10:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:10:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:20:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:20:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:20:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [02:20:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:20:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:20:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:20:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [02:20:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:20:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [02:20:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:20:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:20:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:20:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:20:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/10/2010] id: Previous WeightF el: 0 cu: MICU-A cg: RRT u1: kg st: NotStopd t0: [02:00:00 25/10/2010] id: Micro-Neb Treatment el: 0 cu: MICU-A cg: RRT v1: alb st: NotStopd
t0: [03:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [03:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [03:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [23:00:00 25/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 25/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 25/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 640 ap: none t0: [23:00:00 25/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 80 cv: 2620 ap: none t0: [23:00:00 25/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 70 cv: 1560 ap: none t0: [23:00:00 25/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 3670 ap: none t0: [23:00:00 25/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 80 cv: -1085 ap: carryForward t0: [23:00:00 25/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 3705 ap: carryForward t0: [23:00:00 25/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 80 cv: 5728.49 ap: carryForward
t0: [02:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [02:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [02:00:00 25/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:15:00 25/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [02:15:00 25/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [02:15:00 25/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [02:15:00 25/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:15:00 25/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [02:15:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [02:15:00 25/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:15:00 25/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:15:00 25/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [02:15:00 25/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [02:15:00 25/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:15:00 25/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [02:15:00 25/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [02:15:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [02:15:00 25/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [02:15:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:15:00 25/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [02:15:00 25/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:15:00 25/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:15:00 25/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [02:15:00 25/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:15:00 25/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:15:00 25/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [02:15:00 25/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [02:15:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Exp Wheeze st: NotStopd t0: [02:15:00 25/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [02:15:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [02:15:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:15:00 25/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [02:15:00 25/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:15:00 25/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [02:15:00 25/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [02:15:00 25/10/2010] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [02:15:00 25/10/2010] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:15:00 25/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:15:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:15:00 25/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [02:15:00 25/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [02:15:00 25/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [02:15:00 25/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [02:15:00 25/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [02:15:00 25/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [02:15:00 25/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [03:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 90 degrees st: NotStopd t0: [03:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [03:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 25/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 25/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 25/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 25/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 25/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 25/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 25/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 25/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 25/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 25/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 25/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 25/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 25/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 25/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 25/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 25/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 25/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [04:00:00 25/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [04:00:00 25/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [04:00:00 25/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [04:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [05:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [05:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 170 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [05:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [05:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [05:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
t0: [04:00:00 25/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 25/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [04:00:00 25/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [06:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [22:00:00 24/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [00:00:00 25/10/2010] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 250 vu: ml t0: [00:00:00 25/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [02:00:00 25/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [04:00:00 25/10/2010] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 50 vu: ml t0: [06:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [06:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 75 vu: ml
t0: [02:00:00 25/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 181 rs: Manual st: NotStopd t0: [07:00:00 25/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 154 rs: Manual st: NotStopd
t0: [06:20:00 25/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.6 u1: % rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 511 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.28 u1: /mic l rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 rs: Final st: NotStopd
t0: [07:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [07:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [07:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [07:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [07:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 475 vu: ml
t0: [06:20:00 25/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [06:20:00 25/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.1 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [06:20:00 25/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.1 rs: Final st: NotStopd
t0: [08:00:00 25/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 25/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 25/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 25/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 25/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 25/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [08:00:00 25/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 25/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 25/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 25/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 25/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 25/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 25/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 25/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 25/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 25/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 25/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 25/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 25/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [08:00:00 25/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 25/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 25/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 25/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 25/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 25/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 25/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 25/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 25/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 25/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 25/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 25/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 25/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 25/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 25/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 25/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 25/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [08:00:00 25/10/2010] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 25/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 25/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 25/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 25/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 25/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 25/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 25/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 25/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 25/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 25/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 25/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 25/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 25/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 25/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [08:00:00 25/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 25/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 25/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [08:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [19:00:00 24/10/2010] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [19:00:00 24/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [08:00:00 25/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml
t0: [23:00:00 24/10/2010] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 90 ap: none
t0: [09:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [09:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 25/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [09:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [09:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [09:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.5 u1: lpm st: NotStopd t0: [09:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [10:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [10:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [10:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [10:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml
t0: [11:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 25/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [11:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 25/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [11:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [11:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [11:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 25/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 60 vu: ml t0: [10:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [11:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [11:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [12:00:00 25/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 25/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 25/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 25/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [12:00:00 25/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 25/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 25/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 25/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 25/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 25/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 25/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 25/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 25/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 25/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 25/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 25/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None v2: Scant st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [12:00:00 25/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 25/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 25/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [12:00:00 25/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 25/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [12:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [12:00:00 25/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [12:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [12:00:00 25/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 25/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 25/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [12:00:00 25/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 25/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 25/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 25/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 25/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 25/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 25/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 25/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Restraint DC'd st: NotStopd t0: [12:00:00 25/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 25/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 25/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 25/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 25/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 25/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 25/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 25/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 25/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 25/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 25/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 25/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 25/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [12:00:00 25/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 25/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 25/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [11:00:00 25/10/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml
t0: [12:45:00 25/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [12:45:00 25/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd
t0: [12:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [12:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [13:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [13:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [13:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 25/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [14:00:00 25/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [14:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [14:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [14:00:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [14:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [14:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [14:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [14:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [14:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [14:00:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [14:00:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [14:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [14:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [14:00:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [14:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [14:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:31:00 25/10/2010] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [14:31:00 25/10/2010] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 88.5 u1: kg t0: [14:31:00 25/10/2010] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [14:31:00 25/10/2010] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: SEIZURES t0: [14:31:00 25/10/2010] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [14:31:00 25/10/2010] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [14:31:00 25/10/2010] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [14:31:00 25/10/2010] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [14:31:00 25/10/2010] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [14:31:00 25/10/2010] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [14:31:00 25/10/2010] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [14:31:00 25/10/2010] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [14:31:00 25/10/2010] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [15:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [15:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [15:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 25/10/2010] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/10/2010] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [15:00:00 25/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 10 vu: ml
t0: [23:00:00 25/10/2010] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 35 ap: none
t0: [15:01:00 25/10/2010] id: Chest Tubes Left Pleural 1 el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd t0: [15:01:00 25/10/2010] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [16:00:00 25/10/2010] id: CT #2 Dressing el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 25/10/2010] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 25/10/2010] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 25/10/2010] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 25/10/2010] id: CT #2 Crepitus el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 25/10/2010] id: CT #2 Drainage el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 25/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [16:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 25/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 25/10/2010] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 25/10/2010] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 25/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 25/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [16:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 25/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 25/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 25/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 25/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 25/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 25/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [16:00:00 25/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 25/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 25/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 25/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [16:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [16:00:00 25/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [16:00:00 25/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 25/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 25/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 25/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 25/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 25/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [16:00:00 25/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 25/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 25/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 25/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 25/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 25/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 25/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 25/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 25/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 25/10/2010] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 25/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 25/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 25/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 25/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 25/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 25/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 25/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 25/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 25/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [16:00:00 25/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 25/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [16:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [09:30:00 25/10/2010] id: Micro-Neb Treatment el: 0 cu: MICU-A cg: RRT v1: by nsg st: NotStopd t0: [15:00:00 25/10/2010] id: Micro-Neb Treatment el: 0 cu: MICU-A cg: RRT v1: by nsg st: NotStopd
t0: [14:00:00 25/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [14:00:00 25/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 25/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [17:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [17:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [17:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 25/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [18:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [18:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [18:00:00 25/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 25/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 25/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [18:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [18:00:00 25/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 146 rs: Manual st: NotStopd
t0: [19:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 25/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 25/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [20:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 25/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 60 vu: ml t0: [21:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [21:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml
t0: [23:00:00 25/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 420 ap: none
t0: [20:00:00 25/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 25/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [20:00:00 25/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 25/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 25/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 25/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 25/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [20:00:00 25/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 25/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 25/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 25/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 25/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 25/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 25/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 25/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 25/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 25/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 25/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 25/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [20:00:00 25/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 25/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 25/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 25/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [20:00:00 25/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 17 u1: number st: NotStopd t0: [20:00:00 25/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 25/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [21:00:00 25/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [21:00:00 25/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 25/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 25/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [21:00:00 25/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [21:00:00 25/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [21:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [21:00:00 25/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 25/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [21:00:00 25/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [21:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 25/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 25/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [21:00:00 25/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 25/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 25/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [21:00:00 25/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 25/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 25/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 25/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [21:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 25/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 25/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 25/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [21:00:00 25/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 25/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [21:00:00 25/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [21:00:00 25/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [21:00:00 25/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [21:00:00 25/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 25/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 25/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 25/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 25/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 25/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 25/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [21:00:00 25/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 25/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [22:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 25/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 25/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.7 u1: lpm st: NotStopd t0: [23:00:00 25/10/2010] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [23:00:00 25/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 25/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [23:00:00 25/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 25/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 25/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 25/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 25/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 25/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [23:00:00 25/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 25/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 25/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 25/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [23:00:00 25/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 52.3333 u1: mmHg st: NotStopd t0: [23:00:00 25/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [23:00:00 25/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [23:00:00 25/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 25/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 25/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [23:00:00 25/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 25/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 25/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 25/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 25/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 25/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 25/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 25/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 25/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [22:00:00 25/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [22:00:00 25/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 25/10/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [00:00:00 26/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 153 rs: Manual st: NotStopd
t0: [00:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 26/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [00:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 26/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 26/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 26/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [00:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [00:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [00:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [00:00:00 26/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 26/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 26/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 26/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [00:00:00 26/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [00:00:00 26/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 26/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [01:00:00 26/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker v2: Proton/Pump/Inhi st: NotStopd t0: [01:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 26/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 26/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [01:00:00 26/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [01:00:00 26/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [01:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 26/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [01:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 26/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [01:00:00 26/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [01:00:00 26/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [01:00:00 26/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [01:00:00 26/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 26/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [01:00:00 26/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 26/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [01:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 26/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 26/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [01:00:00 26/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [01:00:00 26/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [01:00:00 26/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [01:00:00 26/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [01:00:00 26/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [01:00:00 26/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [01:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:00:00 26/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [01:00:00 26/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 26/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [01:00:00 26/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [01:00:00 26/10/2010] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [01:00:00 26/10/2010] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 26/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 26/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [01:00:00 26/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [01:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 26/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 26/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [01:00:00 26/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [01:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 26/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [23:00:00 25/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 25/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [00:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [01:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [01:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [02:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 26/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [02:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [02:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [02:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 26/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [02:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 26/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 26/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 26/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 230 ap: none t0: [23:00:00 26/10/2010] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1930 ap: none t0: [23:00:00 26/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 1610 ap: none t0: [23:00:00 26/10/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1579 ap: none t0: [23:00:00 26/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 351 ap: none t0: [23:00:00 26/10/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1579 ap: none t0: [23:00:00 26/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 6079.49 ap: carryForward
t0: [03:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [03:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 26/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [04:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 26/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 26/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [04:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [04:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [04:00:00 26/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 26/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 26/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 26/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [04:00:00 26/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [04:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [04:00:00 26/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [04:00:00 26/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 26/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 26/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [04:00:00 26/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [04:00:00 26/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [05:00:00 26/10/2010] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker v2: Other/Remarks st: NotStopd t0: [05:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 26/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [05:00:00 26/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [05:00:00 26/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 13 u1: points st: NotStopd t0: [05:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 26/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [05:00:00 26/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [05:00:00 26/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 26/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [05:00:00 26/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 26/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [05:00:00 26/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 26/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 26/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [05:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 26/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [05:00:00 26/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [05:00:00 26/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [05:00:00 26/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 26/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [05:00:00 26/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 26/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [05:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [05:00:00 26/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [05:00:00 26/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 26/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 26/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [05:00:00 26/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 26/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [05:00:00 26/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [05:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 26/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [03:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [04:00:00 26/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 26/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 60 vu: ml t0: [04:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [04:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [05:21:00 26/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.3 u1: % rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 571 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd
t0: [06:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [06:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [06:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [06:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [06:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [06:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [05:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [06:00:00 26/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 156 rs: Manual st: NotStopd
t0: [05:21:00 26/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [05:21:00 26/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [08:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [08:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 26/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 26/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [08:00:00 26/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [08:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [08:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 210 vu: ml t0: [08:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [09:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [09:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [10:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [10:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 37 vu: ml
t0: [10:30:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [10:30:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 35 vu: ml t0: [10:30:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 32 vu: ml
t0: [11:37:00 26/10/2010] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd t0: [11:37:00 26/10/2010] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [11:37:00 26/10/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [11:37:00 26/10/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [11:37:00 26/10/2010] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [11:37:00 26/10/2010] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.49 rs: Final st: NotStopd
t0: [08:00:00 26/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 26/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 26/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 26/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 26/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 26/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 26/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 26/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 26/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [08:00:00 26/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 26/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 26/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 26/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 26/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 26/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 26/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 26/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 26/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 26/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 26/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 26/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 26/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 26/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 26/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 26/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 26/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 26/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 26/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [11:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [11:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [11:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 26/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 26/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 26/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 26/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 26/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 26/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [12:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 26/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 26/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 26/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 26/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [12:00:00 26/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 26/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 26/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 26/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 26/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 26/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 26/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 26/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 26/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 26/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [12:00:00 26/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 150 rs: Manual st: NotStopd
t0: [12:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 15 vu: ml t0: [12:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 105 vu: ml
t0: [13:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [13:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [13:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [13:00:00 26/10/2010] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 26/10/2010] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [14:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 26/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [14:00:00 26/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [14:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 30 vu: ml t0: [13:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [13:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [14:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [14:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 26/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 90 ap: none
t0: [12:00:00 26/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 26/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 26/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [15:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [15:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/10/2010] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 26/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 26/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 26/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 26/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 26/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 26/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [16:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [16:00:00 26/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 26/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 26/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 26/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [16:00:00 26/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 26/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 26/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 26/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 26/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 26/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 26/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 26/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 26/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 26/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 26/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 26/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 26/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 26/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [16:00:00 26/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 26/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [16:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [16:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [17:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [17:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [17:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/10/2010] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 26/10/2010] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 26/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 26/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 26/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 26/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 26/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 26/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [18:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [18:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 26/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 26/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [18:00:00 26/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [18:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [18:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [18:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 26/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 26/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [18:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [18:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [18:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [18:00:00 26/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 149 rs: Manual st: NotStopd
t0: [19:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 26/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 26/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 26/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [20:00:00 26/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 26/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [20:00:00 26/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 26/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 26/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 26/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [20:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [20:00:00 26/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 26/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 26/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 26/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 26/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 26/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 26/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 26/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 26/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 26/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 26/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 26/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 26/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 26/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 26/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 26/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 26/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 26/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 26/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 26/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [20:00:00 26/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [20:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 26/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [20:00:00 26/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 26/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 26/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 26/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 26/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 26/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 26/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 26/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [20:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [21:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [21:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [22:00:00 26/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [22:00:00 26/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [22:00:00 26/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 26/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [22:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 26/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 26/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 26/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 26/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 26/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 26/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 26/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 26/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 26/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 26/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [23:00:00 26/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 26/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [23:00:00 26/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [23:00:00 26/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 113.333 u1: mmHg st: NotStopd t0: [23:00:00 26/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 26/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 26/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 26/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [23:00:00 26/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 26/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 26/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 26/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [22:00:00 26/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [00:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [00:30:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [01:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [00:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [00:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [00:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:30:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:30:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [00:30:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [00:30:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:30:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [01:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 192 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [01:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 112.667 u1: mmHg st: NotStopd t0: [01:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [00:30:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 189 u1: mmHg v2: 75 u2: mmHg st: NotStopd
t0: [01:15:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:15:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:15:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:15:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:15:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:15:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [01:15:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:15:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:15:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:15:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:15:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:15:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:15:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd
t0: [20:00:00 26/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 27/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 27/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 27/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 27/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [00:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [00:00:00 27/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 27/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 27/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 27/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 27/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 27/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 27/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 27/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 27/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 27/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 27/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 27/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 27/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 27/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 27/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [00:00:00 27/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 27/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [01:00:00 27/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [01:00:00 27/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [01:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [01:00:00 27/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 27/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd
t0: [00:00:00 27/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 27/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 148 rs: Manual st: NotStopd t0: [01:00:00 27/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 27/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [01:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [01:30:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 330 vu: ml
t0: [02:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [02:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [02:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [02:30:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 290 vu: ml
t0: [00:00:00 27/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 27/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 2 u1: lpm st: NotStopd t0: [01:00:00 27/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [01:00:00 27/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 3.5 u1: lpm st: NotStopd t0: [02:00:00 27/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [02:00:00 27/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd
t0: [03:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [03:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [03:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [03:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 165 vu: ml
t0: [23:00:00 27/10/2010] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 27/10/2010] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 27/10/2010] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 200 ap: none t0: [23:00:00 27/10/2010] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 1710 ap: none t0: [23:00:00 27/10/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: RN cv: 1400 ap: none t0: [23:00:00 27/10/2010] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 2830 ap: none t0: [23:00:00 27/10/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -1120 ap: carryForward t0: [23:00:00 27/10/2010] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 2830 ap: carryForward t0: [23:00:00 27/10/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 4959.49 ap: carryForward
t0: [01:00:00 27/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 27/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [01:00:00 27/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd
t0: [04:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [04:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 101.333 u1: mmHg st: NotStopd t0: [04:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [04:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 185 vu: ml
t0: [04:15:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:15:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:15:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:15:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:15:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:15:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:15:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:15:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [04:15:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:15:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:15:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:15:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [02:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [02:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 27/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [03:00:00 27/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 27/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 27/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 27/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 27/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 27/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 27/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 27/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 27/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [04:00:00 27/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 27/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [04:00:00 27/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [04:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [04:00:00 27/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 27/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 27/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 27/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 27/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 27/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 27/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 27/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 27/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 27/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 27/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 27/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 27/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 27/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 27/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [04:00:00 27/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 27/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [05:00:00 27/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 27/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [05:00:00 27/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 27/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 27/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 27/10/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 152 rs: Manual st: NotStopd
t0: [05:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml
t0: [05:30:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [04:30:00 27/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.4 u1: % rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 590 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd
t0: [04:30:00 27/10/2010] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 153 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 23.3 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 133 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 153 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.5 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 23.3 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:30:00 27/10/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 133 rs: Final st: NotStopd
t0: [05:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [05:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [05:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [06:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [06:30:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 125 vu: ml
t0: [07:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [07:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [07:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [07:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/10/2010] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 27/10/2010] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 27/10/2010] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 27/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 27/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 27/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 27/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [08:00:00 27/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 27/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 27/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [08:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 27/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [08:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [08:00:00 27/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 27/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 27/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 27/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [08:00:00 27/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 27/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:00:00 27/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 27/10/2010] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 27/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 27/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 27/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 27/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 27/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 27/10/2010] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:00:00 27/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 27/10/2010] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Restraint DC'd st: NotStopd t0: [08:00:00 27/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 27/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 27/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 27/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 27/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 27/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [08:00:00 27/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [08:00:00 27/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 27/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [07:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [08:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [08:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [08:00:00 27/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [08:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [08:00:00 27/10/2010] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 27/10/2010] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 27/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 27/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [08:00:00 27/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 27/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [08:00:00 27/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 27/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 27/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 27/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 27/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 27/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 27/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 27/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 27/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 27/10/2010] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 27/10/2010] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 27/10/2010] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 27/10/2010] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 27/10/2010] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 27/10/2010] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 27/10/2010] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [09:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [09:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [09:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [09:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [09:00:00 27/10/2010] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 2-Mild st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [09:00:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 2-Mild st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Headache st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PO Med st: NotStopd t0: [09:00:00 27/10/2010] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd
t0: [09:00:00 27/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 60 vu: ml
t0: [10:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/10/2010] tf: [18:19:00 27/10/2010] dt: 619 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [10:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml
t0: [11:00:00 27/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [11:00:00 27/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [11:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [11:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 176 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87.3333 u1: mmHg st: NotStopd t0: [11:00:00 27/10/2010] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 27/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Hoyer st: NotStopd t0: [11:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [11:00:00 27/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [11:00:00 27/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [11:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [12:00:00 27/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 27/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 27/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 27/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 27/10/2010] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 27/10/2010] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 27/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 27/10/2010] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 27/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [12:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 27/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 27/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [12:00:00 27/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 27/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [12:00:00 27/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [12:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [12:00:00 27/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 27/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 27/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 27/10/2010] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [12:00:00 27/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 27/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [12:00:00 27/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/10/2010] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 27/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 27/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 27/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 27/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 27/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 27/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 27/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 27/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 27/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 27/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 27/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 27/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 27/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 27/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 27/10/2010] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 27/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [12:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [12:00:00 27/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 27/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [13:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [13:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [13:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 92.6667 u1: mmHg st: NotStopd t0: [13:00:00 27/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 27/10/2010] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [13:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [15:06:00 27/10/2010] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [15:06:00 27/10/2010] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 88.5 u1: kg t0: [15:06:00 27/10/2010] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [15:06:00 27/10/2010] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: SEIZURES t0: [15:06:00 27/10/2010] id: Service el: 1026 cu: MICU-A cg: -1 v1: NME t0: [15:06:00 27/10/2010] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [15:06:00 27/10/2010] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [15:06:00 27/10/2010] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [15:06:00 27/10/2010] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [15:06:00 27/10/2010] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [15:06:00 27/10/2010] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [15:06:00 27/10/2010] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [15:06:00 27/10/2010] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [14:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [14:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [14:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 27/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [15:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [15:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 105.333 u1: mmHg st: NotStopd t0: [15:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [15:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml t0: [15:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [08:00:00 27/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/10/2010] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 27/10/2010] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/10/2010] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 27/10/2010] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 27/10/2010] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 27/10/2010] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/10/2010] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 27/10/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [16:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 27/10/2010] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 27/10/2010] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 27/10/2010] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 27/10/2010] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/10/2010] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 27/10/2010] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 26 st: NotStopd t0: [16:00:00 27/10/2010] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/10/2010] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 27/10/2010] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 8 v2: 28 st: NotStopd t0: [16:00:00 27/10/2010] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 27/10/2010] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 27/10/2010] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/10/2010] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 27/10/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 27/10/2010] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 27/10/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 27/10/2010] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Gluteal, Right st: NotStopd t0: [16:00:00 27/10/2010] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Perineum st: NotStopd t0: [16:00:00 27/10/2010] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 27/10/2010] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/10/2010] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 27/10/2010] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 27/10/2010] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [16:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [16:00:00 27/10/2010] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 27/10/2010] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [16:00:00 27/10/2010] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/10/2010] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 27/10/2010] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 27/10/2010] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Hoyer st: NotStopd t0: [16:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/10/2010] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 27/10/2010] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 27/10/2010] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 27/10/2010] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 27/10/2010] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 27/10/2010] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 27/10/2010] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 27/10/2010] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 27/10/2010] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 27/10/2010] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 27/10/2010] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 27/10/2010] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 27/10/2010] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 27/10/2010] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 27/10/2010] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 27/10/2010] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 27/10/2010] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 27/10/2010] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 27/10/2010] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 27/10/2010] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 27/10/2010] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 27/10/2010] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 27/10/2010] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 27/10/2010] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 27/10/2010] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 27/10/2010] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/10/2010] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 27/10/2010] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 27/10/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 70 vu: ml t0: [16:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [16:00:00 27/10/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 143 vo: 50 vu: ml
t0: [23:00:00 27/10/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 110 ap: none
t0: [13:17:00 27/10/2010] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [13:17:00 27/10/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd
t0: [17:00:00 27/10/2010] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 27/10/2010] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/10/2010] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/10/2010] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 27/10/2010] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 27/10/2010] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:00:00 27/10/2010] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 27/10/2010] id: NBP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 27/10/2010] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:00:00 27/10/2010] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 27/10/2010] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 27/10/2010] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 27/10/2010] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/10/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml st: Stopped t0: [18:00:00 27/10/2010] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 140 vu: ml st: Stopped t0: [18:00:00 27/10/2010] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [18:00:00 27/10/2010] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [23:00:00 27/10/2010] dt: 24 id: Stool Out Total el: 2 cu: -1 cg: RN cv: 0 ap: carryForward
dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 42731 ds: 1 ld: ATRIAL FIBRILLATION dd: 7851 ds: 3 ld: PALPITATIONS
dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 4240 ds: 8 ld: MITRAL VALVE DISORDER dd: 42731 ds: 7 ld: ATRIAL FIBRILLATION dd: 4280 ds: 2 ld: CONGESTIVE HEART FAILURE dd: 42830 ds: 9 ld: UNSPEC DIASTO HRT FAIL dd: 486 ds: 3 ld: PNEUMONIA, ORGANISM NOS dd: 496 ds: 4 ld: CHR AIRWAY OBSTRUCT NEC dd: 5849 ds: 6 ld: ACUTE RENAL FAILURE NOS dd: 78039 ds: 5 ld: OTHER CONVULSIONS dd: 8244 ds: 1 ld: FX BIMALLEOLAR-CLOSED dd: 8248 ds: 1 ld: FX ANKLE NOS-CLOSED dd: E8889 ds: 2 ld: OTHER UNSPECIFIED FALL
dd: 8240 ds: 3 ld: FX MEDIAL MALLEOLUS-CLOS dd: 8242 ds: 1 ld: FX LATERAL MALLEOLUS-CL dd: 8248 ds: 2 ld: FX ANKLE NOS-CLOSED dd: V5489 ds: 4 ld: OTHER ORTHOPEDIC AFTRCRE
dd: 2765 ds: 7 ld: HYPOVOLEMIA dd: 29281 ds: 1 ld: DRUG-INDUCED DELIRIUM dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 41401 ds: 16 ld: CORON ATHEROSCLER NATIVE dd: 4241 ds: 4 ld: AORTIC VALVE DISORDER dd: 42731 ds: 10 ld: ATRIAL FIBRILLATION dd: 4280 ds: 3 ld: CONGESTIVE HEART FAILURE dd: 4580 ds: 13 ld: ORTHOSTATIC HYPOTENSION dd: 5848 ds: 6 ld: AC RENAL FAILURE NEC dd: 72402 ds: 12 ld: SPINAL STENOSIS-LUMBAR dd: 7242 ds: 17 ld: LUMBAGO dd: 73390 ds: 14 ld: BONE & CARTILAGE DIS NOS dd: 78039 ds: 8 ld: OTHER CONVULSIONS dd: 78099 ds: 1 ld: OTH GENERAL SYMPTOMS dd: 78820 ds: 2 ld: RETENTION OF URINE, UNSP dd: 8054 ds: 5 ld: FX LUMBAR VERTEBRA-CLOSE dd: E9352 ds: 9 ld: ADV EFF OPIATES dd: E9378 ds: 11 ld: ADV EFF SEDAT/HYPNOT NEC dd: V1259 ds: 15 ld: PERS HX OTH DIS CIRC SYS
dd: 73390 ds: 3 ld: BONE & CARTILAGE DIS NOS dd: 8244 ds: 1 ld: FX BIMALLEOLAR-CLOSED dd: 8248 ds: 2 ld: FX ANKLE NOS-CLOSED dd: V5489 ds: 4 ld: OTHER ORTHOPEDIC AFTRCRE
dd: 8248 ds: 1 ld: FX ANKLE NOS-CLOSED dd: V5489 ds: 2 ld: OTHER ORTHOPEDIC AFTRCRE
dd: 04111 ds: 10 ld: BACTERI INF STAPH AUREUS dd: 0413 ds: 9 ld: KLEBSIELLA INFECT NOS dd: 40291 ds: 1 ld: HYPERTEN HEART DIS W CHF dd: 41401 ds: 12 ld: CORON ATHEROSCLER NATIVE dd: 4241 ds: 2 ld: AORTIC VALVE DISORDER dd: 4241 ds: 3 ld: AORTIC VALVE DISORDER dd: 42731 ds: 4 ld: ATRIAL FIBRILLATION dd: 4280 ds: 1 ld: CONGESTIVE HEART FAILURE dd: 4280 ds: 8 ld: CONGESTIVE HEART FAILURE dd: 5180 ds: 6 ld: PULMONARY COLLAPSE dd: 51881 ds: 2 ld: RESPIRATORY FAILURE dd: 5990 ds: 5 ld: URIN TRACT INFECTION NOS dd: 78551 ds: 7 ld: CARDIOGENIC SHOCK dd: V090 ds: 11 ld: INF W/ MICR RESIST PENIC