This log is also available as text (s19418.txt) and as a (binary) annotation file (s19418.log).
Generated: Monday, 07-Jun-2010 13:20:32 EDT
(All dates below are surrogates.)
t0: [21:07:08 29/01/2009] tf: [21:34:47 31/01/2009] id: a42141 [view]
t0: [18:55:59 29/01/2009] tf: [21:32:59 31/01/2009] id: a42141n [view]
dd: 2639 ds: 3 ld: PROTEIN-CAL MALNUTR NOS dd: 340 ds: 4 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: 5990 ds: 2 ld: URIN TRACT INFECTION NOS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 4270 ds: 2 ld: PAROX ATRIAL TACHYCARDIA dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 4739 ds: 1 ld: CHRONIC SINUSITIS NOS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 340 ds: 2 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 3 ld: ULCERATIV COLITIS UNSPEC dd: 78605 ds: 1 ld: SHORTNESS OF BREATH dd: 78650 ds: 4 ld: CHEST PAIN NOS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 4660 ds: 1 ld: ACUTE BRONCHITIS
dd: 4720 ds: 1 ld: CHRONIC RHINITIS dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 4739 ds: 1 ld: CHRONIC SINUSITIS NOS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 4739 ds: 1 ld: CHRONIC SINUSITIS NOS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 49390 ds: 2 ld: ASTHMA, UNSPECIFIED dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 5559 ds: 1 ld: REGIONAL ENTERITIS NOS dd: 6264 ds: 3 ld: IRREGULAR MENSTRUATION dd: 78909 ds: 2 ld: ABDOMIN PAIN OTHR SPEC S
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 49390 ds: 2 ld: ASTHMA, UNSPECIFIED dd: 5566 ds: 1 ld: UNIVERSAL ULCER COLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 4619 ds: 1 ld: ACUTE SINUSITIS NOS dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC
dd: 07999 ds: 1 ld: UNSPEC VIRAL INFECTIONS dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC
dd: 1369 ds: 3 ld: INFECT/PARASITE DIS NOS dd: 340 ds: 2 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 2793 ds: 4 ld: IMMUNITY DEFICIENCY NOS dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 49320 ds: 5 ld: CHRONIC OBSTRUCTIVE ASTH dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC dd: 7806 ds: 3 ld: FEVER
dd: 4720 ds: 2 ld: CHRONIC RHINITIS dd: 4739 ds: 4 ld: CHRONIC SINUSITIS NOS dd: 4778 ds: 5 ld: ALLERGIC RHINITIS NEC dd: 49300 ds: 3 ld: EXTRINSIC ASTHMA, UNSPEC dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS dd: 7806 ds: 6 ld: FEVER
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 4619 ds: 1 ld: ACUTE SINUSITIS NOS dd: 7862 ds: 2 ld: COUGH
dd: 4659 ds: 1 ld: ACUTE URI NOS dd: 78052 ds: 2 ld: INSOMNIA, UNSPECIFIED
dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5589 ds: 1 ld: NONINF GASTROENTERIT NEC
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 5589 ds: 1 ld: NONINF GASTROENTERIT NEC dd: 7905 ds: 2 ld: ABN SERUM ENZY LEVEL NEC
dd: 78052 ds: 1 ld: INSOMNIA, UNSPECIFIED
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 7948 ds: 1 ld: ABN LIVER FUNCTION STUDY
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5718 ds: 1 ld: CHRONIC LIVER DIS NEC dd: 7948 ds: 2 ld: ABN LIVER FUNCTION STUDY dd: V4589 ds: 3 ld: POSTSURGICAL STATES NEC
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 7948 ds: 1 ld: ABN LIVER FUNCTION STUDY
dd: 49390 ds: 2 ld: ASTHMA, UNSPECIFIED dd: 5565 ds: 1 ld: LEFT-SIDED ULCERAT COLIT
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 4619 ds: 1 ld: ACUTE SINUSITIS NOS
dd: 2554 ds: 3 ld: CORTICOADRENAL INSUFFIC dd: 5899 ds: 2 ld: SMALL KIDNEY NOS dd: 7850 ds: 1 ld: TACHYCARDIA NOS
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: V7283 ds: 2 ld: OTHER SPEC PRE-OP EXAM
dd: 65690 ds: 1 ld: FET/PLAC PROB NOS-UNSPEC
dd: 2859 ds: 6 ld: ANEMIA NOS dd: 340 ds: 4 ld: MULTIPLE SCLEROSIS dd: 41511 ds: 2 ld: IATROG PULM EMBOL/INFARC dd: 4538 ds: 5 ld: VENOUS THROMBOSIS NEC dd: 49390 ds: 7 ld: ASTHMA, UNSPECIFIED dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: 5990 ds: 3 ld: URIN TRACT INFECTION NOS dd: E8497 ds: 9 ld: ACCID IN RESIDENT INSTIT dd: E8783 ds: 8 ld: ABN REACT-EXTERNAL STOMA
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: SC fr: QD fs: 10 dn: 1 m1: Copaxone v1: 20 u1: mg
tf: [15:00:00 05/01/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 0, 8, 16 dn: 3 m1: Metronidazole v1: 500 u1: mg m2: NS v2: 100 u2: ml
tf: [17:00:00 05/01/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Cefazolin v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [17:00:00 05/01/2011] pt: Unit Dose rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg
tf: [22:00:00 04/01/2011] pt: Unit Dose rt: IV fr: MR X1 fs: 22 m1: Ondansetron v1: 2 u1: mg tf: [22:00:00 04/01/2011] pt: Unit Dose rt: IV fr: PRN PAIN Q5MIN m1: Morphine Sulfate v1: 1-5 u1: mg tf: [22:00:00 04/01/2011] pt: Unit Dose rt: IV fr: X1 PRN SHIVERING m1: Meperidine v1: 12.5-25 u1: mg tf: [23:00:00 04/01/2011] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Baclofen v1: 30 u1: mg tf: [10:00:00 05/01/2011] pt: Unit Dose rt: IVPCA fr: ASDIR m1: Morphine Sulfate v1: 1 u1: mg tf: [15:00:00 05/01/2011] pt: Unit Dose rt: SC fr: Q8H fs: 22, 6, 14 dn: 3 m1: Heparin v1: 5000 u1: UNIT tf: [21:00:00 05/01/2011] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [07:00:00 11/01/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 16 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [19:00:00 19/01/2011] pt: Unit Dose rt: IH fr: BID fs: 10, 22 dn: 2 m1: Fluticasone Propionate 110mcg v1: 2 u1: PUFF tf: [19:00:00 19/01/2011] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Inhaler v1: 1-2 u1: PUFF tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Amitriptyline HCl v1: 25 u1: mg tf: [19:00:00 19/01/2011] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
tf: [22:00:00 04/01/2011] pt: Unit Dose rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg
tf: [16:00:00 12/01/2011] pt: Unit Dose rt: PO fr: TID fs: 08, 14, 18 dn: 3 m1: Baclofen v1: 30 u1: mg
tf: [09:00:00 07/01/2011] pt: Unit Dose rt: IVPCA fr: ASDIR m1: Morphine Sulfate v1: 1.5 u1: mg
tf: [00:00:00 06/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [00:00:00 06/01/2011] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Heparin v1: 6000 u1: UNIT
tf: [22:00:00 04/01/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR tf: [17:00:00 06/01/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: QHS fs: 22 dn: 1 m1: Baclofen v1: 40 u1: mg
tf: [09:00:00 06/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [23:00:00 06/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [22:00:00 04/01/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 40 u1: mg m2: Syringe v2: 1 u2: SYR tf: [23:00:00 08/01/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 40 u1: mg m2: Syringe v2: 1 u2: SYR
id: Heparin el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ra: 12.5 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
tf: [21:49:00 08/01/2011] dt: 2924 cu: MICU-A de: CC6A
t0: [21:05:00 06/01/2011] id: BSA el: 1033 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Admit Wt el: 1032 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: 1531 v1: ULCERATIVE COLITIS/SDA t0: [21:05:00 06/01/2011] id: Service el: 1026 cu: MICU-A cg: 1531 v1: SUR t0: [21:05:00 06/01/2011] id: Admit Ht el: 1034 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Readmission el: 1014 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Marital Status el: 1006 cu: MICU-A cg: 1531 v1: S t0: [21:05:00 06/01/2011] id: Religion el: 1000 cu: MICU-A cg: 1531 v1: JEW t0: [21:05:00 06/01/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Ext el: 1010 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: PIN el: 1012 cu: MICU-A cg: 1531 t0: [21:05:00 06/01/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: 1531
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
t0: [19:03:00 06/01/2011] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 u1: mEq/L rs: Final st: NotStopd t0: [19:03:00 06/01/2011] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [19:03:00 06/01/2011] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 u1: mEq/L rs: Final st: NotStopd t0: [19:03:00 06/01/2011] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd
t0: [20:00:00 06/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 06/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 06/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 06/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 06/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 06/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 06/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [20:00:00 06/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 06/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 06/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 06/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 06/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 06/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 06/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [21:00:00 06/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [21:00:00 06/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 06/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 06/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 06/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 06/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [21:00:00 06/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [21:00:00 06/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 06/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 06/01/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [21:00:00 06/01/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 06/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 06/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 06/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [21:00:00 06/01/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:00:00 06/01/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [21:00:00 06/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [21:00:00 06/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [21:00:00 06/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 06/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [21:00:00 06/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 06/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 06/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 06/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 06/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 06/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 06/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 06/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 06/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 06/01/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [21:00:00 06/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 06/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [21:00:00 06/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [21:00:00 06/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [21:00:00 06/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [21:00:00 06/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 06/01/2011] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [21:00:00 06/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [21:00:00 06/01/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 06/01/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 06/01/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 06/01/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 06/01/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:00:00 06/01/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [21:00:00 06/01/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [21:00:00 06/01/2011] tf: [21:49:00 08/01/2011] dt: 2929 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [21:00:00 06/01/2011] tf: [21:49:00 08/01/2011] dt: 2929 id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:50:00 06/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.5 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.5 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.5 u1: % rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 245 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.06 u1: /mic l rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 16.5 rs: Final st: NotStopd
t0: [19:03:00 06/01/2011] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd
t0: [20:50:00 06/01/2011] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.2 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 55.3 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.2 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 55.3 rs: Final st: NotStopd
t0: [21:00:00 06/01/2011] 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 06/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [21:00:00 06/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [21:00:00 06/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [21:00:00 06/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 06/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 06/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 06/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 06/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 06/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 06/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [22:00:00 06/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [22:00:00 06/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [22:00:00 06/01/2011] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [22:00:00 06/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [22:00:00 06/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 06/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [22:00:00 06/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:50:00 06/01/2011] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 64 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 185 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 u1: mg/dl rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 419 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] 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: [20:50:00 06/01/2011] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd
t0: [20:50:00 06/01/2011] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.7 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [20:50:00 06/01/2011] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd
tf: [22:00:00 07/01/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Magnesium Sulfate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [22:00:00 07/01/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml
t0: [21:00:00 06/01/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 06/01/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 06/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [23:00:00 06/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:00:00 06/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 06/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [23:00:00 06/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 06/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 06/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 06/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 06/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:00:00 06/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 115 u1: BPM st: NotStopd t0: [23:00:00 06/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 06/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [23:00:00 06/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [23:00:00 06/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [23:00:00 06/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 06/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [23:00:00 06/01/2011] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 06/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 06/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 06/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 06/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 06/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 06/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 06/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 06/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 06/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [23:00:00 06/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 06/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd
t0: [23:00:00 06/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 06/01/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 06/01/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 410 ap: none t0: [23:00:00 06/01/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 50 cv: 410 ap: none
t0: [23:22:00 06/01/2011] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd t0: [23:23:00 06/01/2011] id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [20:50:00 06/01/2011] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd
id: KCL el: 100 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push id: Magnesium Sulfate el: 200 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions am: 4 du: gm rt: Intravenous Push id: Potassium Phosphate el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions am: 22 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 40 ru: ml/hr io: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 125 ru: ml/hr
tf: [09:00:00 07/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 10000.0ml IV Infusions vo: 10000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [00:00:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.3386 u1: ml/dl st: NotStopd t0: [00:00:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 34 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 121 u1: mmHg rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.14 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [00:00:00 07/01/2011] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
t0: [21:00:00 06/01/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 06/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [21:00:00 06/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Erythematous st: NotStopd t0: [00:00:00 07/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 07/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 07/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [00:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 07/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 07/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/01/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [00:00:00 07/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 07/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [00:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 07/01/2011] 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 07/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [00:00:00 07/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 07/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [00:00:00 07/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 07/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [00:00:00 07/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 07/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 07/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Erythematous st: NotStopd t0: [00:00:00 07/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 07/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 07/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [00:00:00 07/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 07/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [00:00:00 07/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 07/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [00:00:00 07/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [00:00:00 07/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 07/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [00:00:00 07/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 07/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 07/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 07/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 07/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 07/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/01/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 07/01/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [00:00:00 07/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [00:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 07/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 07/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [00:00:00 07/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [22:00:00 06/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [23:00:00 06/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml st: Stopped t0: [00:00:00 07/01/2011] tf: [02:00:00 07/01/2011] dt: 120 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [00:00:00 07/01/2011] tf: [07:00:00 07/01/2011] dt: 420 id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [00:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [00:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [00:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:04:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 13.1496 u1: ml/dl st: NotStopd t0: [01:04:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 262 u1: mmHg rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.11 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [01:04:00 07/01/2011] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 99 u1: % rs: Final st: NotStopd
t0: [01:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [01:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [01:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [01:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 07/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 07/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [02:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [02:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 07/01/2011] 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 07/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [02:00:00 07/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [02:00:00 07/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [02:00:00 07/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [02:00:00 07/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [02:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [02:00:00 07/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:00:00 07/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [02:00:00 07/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 07/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 07/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 07/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [02:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd
t0: [01:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [01:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 125 vu: ml t0: [01:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [02:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [02:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [02:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [01:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 07/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 07/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 07/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 07/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 07/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [03:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [03:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [03:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 07/01/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 07/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [03:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 129 u1: BPM st: NotStopd t0: [03:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 07/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 07/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 07/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Venti Mask st: NotStopd t0: [03:00:00 07/01/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 35 u1: lpm st: NotStopd t0: [03:00:00 07/01/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 07/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [03:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [03:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [03:00:00 07/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 07/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [03:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 07/01/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 07/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 07/01/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/01/2011] tf: [21:49:00 08/01/2011] dt: 2869 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [23:00:00 06/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [01:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [03:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [03:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [03:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [03:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/01/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 42.5 cv: 42.5 ap: none t0: [23:00:00 06/01/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 92.5 cv: 105 ap: none t0: [23:00:00 06/01/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 92.5 cv: 105 ap: none t0: [23:00:00 06/01/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 42.5 cv: -305 ap: none t0: [23:00:00 06/01/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 42.5 cv: -305 ap: none t0: [23:00:00 07/01/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/01/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/01/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2471.5 ap: none t0: [23:00:00 07/01/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 3221.5 ap: none t0: [23:00:00 07/01/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2130 ap: none t0: [23:00:00 07/01/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -58.5 ap: none t0: [23:00:00 07/01/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 3280 ap: none t0: [23:00:00 07/01/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -363.5 ap: none
t0: [03:42:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [03:42:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.05 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [03:30:00 07/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 24.9 u1: % rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 232 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.71 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.6 rs: Final st: NotStopd t0: [03:42:00 07/01/2011] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.4244 u1: ml/dl st: NotStopd
t0: [04:00:00 07/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 07/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [04:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 07/01/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 07/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 123 u1: BPM st: NotStopd t0: [04:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 07/01/2011] 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 07/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 07/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [04:00:00 07/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 07/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 07/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [04:00:00 07/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 07/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [04:00:00 07/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [04:00:00 07/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Erythematous st: NotStopd t0: [04:00:00 07/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [04:00:00 07/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [04:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 07/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/01/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [04:00:00 07/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 07/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 07/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 07/01/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [04:00:00 07/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [04:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 07/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 07/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 07/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [04:00:00 07/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 07/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [04:00:00 07/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [04:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [04:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:30:00 07/01/2011] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.8 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 66.5 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.8 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 66.5 rs: Final st: NotStopd
io: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ra: 175 ru: ml/hr
id: Packed RBC's el: 1 cu: MICU-A cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [05:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 07/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [05:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 07/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 07/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [05:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [05:00:00 07/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [05:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [05:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [05:00:00 07/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 07/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [05:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 07/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [05:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [05:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:05:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 11.5967 u1: ml/dl st: NotStopd t0: [05:05:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 189 u1: mmHg rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.07 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:05:00 07/01/2011] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 99 u1: % rs: Final st: NotStopd
t0: [03:30:00 07/01/2011] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 55 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] 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: [03:30:00 07/01/2011] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] 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: [03:30:00 07/01/2011] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [03:30:00 07/01/2011] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.4 rs: Final st: NotStopd
t0: [03:30:00 07/01/2011] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd
t0: [05:00:00 07/01/2011] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [05:15:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:15:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:15:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:15:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 115 u1: BPM st: NotStopd t0: [05:15:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [05:15:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [05:15:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:15:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [05:15:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:15:00 07/01/2011] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:15:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:15:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:30:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:30:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [05:30:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [05:30:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [05:30:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:30:00 07/01/2011] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [05:30:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [05:30:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:30:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:30:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [06:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 07/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 07/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [06:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [06:00:00 07/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [06:00:00 07/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [06:00:00 07/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 07/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 07/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 07/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [06:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [06:00:00 07/01/2011] tf: [09:30:00 07/01/2011] dt: 210 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 0 vu: ml nb: 1 t0: [06:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [06:00:00 07/01/2011] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 87.5 vu: ml t0: [06:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml
t0: [05:15:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:30:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [07:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [07:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [07:00:00 07/01/2011] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 175 vu: ml t0: [07:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped
id: KCL el: 100 cu: MICU-A cg: RN io: D5W 250.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
io: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 50 ru: ml/hr
tf: [23:00:00 08/01/2011] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: D5W v2: 250 u2: ml tf: [23:00:00 08/01/2011] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm tf: [07:00:00 11/01/2011] pt: Unit Dose rt: IV fr: Q6H fs: 7, 13, 19, 1 dn: 4 m1: Metoprolol v1: 5 u1: mg tf: [07:00:00 11/01/2011] pt: Unit Dose rt: IV fr: TID:PRN m1: Haloperidol v1: 3-5 u1: mg
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [07:01:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [08:00:00 07/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 07/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 07/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 07/01/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 07/01/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 07/01/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/01/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [08:00:00 07/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 07/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [08:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 07/01/2011] 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 07/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [08:00:00 07/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 07/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [08:00:00 07/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 07/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [08:00:00 07/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 07/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 07/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Erythematous st: NotStopd t0: [08:00:00 07/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 07/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 07/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 07/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [08:00:00 07/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [08:00:00 07/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 07/01/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [08:00:00 07/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 07/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 07/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 07/01/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 07/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [08:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 07/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 07/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 07/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 07/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 07/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 07/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 07/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 07/01/2011] tf: [21:49:00 08/01/2011] dt: 2269 id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [08:00:00 07/01/2011] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [08:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 410 vu: ml
t0: [08:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 07/01/2011] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [09:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [09:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [09:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 121 u1: BPM st: NotStopd t0: [09:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 10 mg st: NotStopd t0: [09:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [09:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: 1.5 mg st: NotStopd t0: [09:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [09:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [09:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 4-Mild to Mod st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push st: NotStopd t0: [09:00:00 07/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [09:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [09:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [09:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 07/01/2011] id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [08:00:00 08/01/2011] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Morphine Sulfate v1: 1-2 u1: mg
t0: [09:30:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:30:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [09:30:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:30:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [09:30:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:30:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [09:30:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [09:30:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [09:30:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [09:30:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [09:30:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [09:30:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [09:30:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [09:30:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:30:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:30:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/01/2011] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 112.5 vu: ml t0: [09:00:00 07/01/2011] tf: [21:49:00 08/01/2011] dt: 2209 id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [09:00:00 07/01/2011] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [09:30:00 07/01/2011] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 0 vu: ml nb: 1
t0: [09:30:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [18:00:00 07/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [23:00:00 08/01/2011] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [23:00:00 08/01/2011] pt: Unit Dose rt: IVPCA fr: ASDIR m1: Morphine Sulfate v1: 0.5 u1: mg
t0: [10:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [10:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [10:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [10:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [10:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [10:00:00 07/01/2011] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [10:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [10:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [11:00:00 07/01/2011] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml
t0: [10:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:50:00 07/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 61.2 rs: Final st: NotStopd t0: [09:50:00 07/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 61.2 rs: Final st: NotStopd
t0: [11:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [11:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [11:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [11:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [11:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [11:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 07/01/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 146 rs: Manual st: NotStopd
t0: [09:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/01/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 07/01/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 07/01/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/01/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 07/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 07/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [12:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 07/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 07/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 07/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 07/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 07/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Erythematous st: NotStopd t0: [12:00:00 07/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 07/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 07/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 07/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [12:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [12:00:00 07/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 07/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [12:00:00 07/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 07/01/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [12:00:00 07/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [12:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 07/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 07/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 07/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 07/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 07/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 07/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [12:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [12:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [12:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:27:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [12:27:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd
t0: [13:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [13:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [13:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [13:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/01/2011] tf: [21:49:00 08/01/2011] dt: 2089 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 07/01/2011] id: D5W 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [12:00:00 07/01/2011] tf: [21:49:00 08/01/2011] dt: 2029 id: Stool Out Ileostomy el: 1 cu: MICU-A cg: RN vo: 450 vu: ml t0: [13:00:00 07/01/2011] tf: [21:49:00 08/01/2011] dt: 1969 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 304 vo: 375 vu: ml
t0: [13:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/01/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 750 ap: none
t0: [12:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [14:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [14:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [14:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [14:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [15:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [15:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [15:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [15:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [14:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [14:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 205 vu: ml
t0: [14:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 07/01/2011] id: .9% Normal Saline 250.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [16:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [16:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [16:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [16:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [16:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [16:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 07/01/2011] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 99.1 u1: kg st: NotStopd t0: [15:00:00 07/01/2011] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 99.1 u1: kg st: NotStopd t0: [16:00:00 07/01/2011] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 99.1 u1: kg st: NotStopd t0: [16:33:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 126 u1: mmHg rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.16 rs: Final st: NotStopd t0: [16:33:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd
t0: [08:00:00 07/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Venti Mask st: NotStopd t0: [08:00:00 07/01/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 35 u1: lpm st: NotStopd t0: [10:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [10:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [10:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [10:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 0 v2: 0 st: NotStopd t0: [10:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [10:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [11:00:00 07/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [11:00:00 07/01/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [11:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [11:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [11:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [11:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 0 v2: 0 st: NotStopd t0: [11:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [11:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [12:00:00 07/01/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 07/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 07/01/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [12:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [12:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [12:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 2 v2: 3 st: NotStopd t0: [12:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [12:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [13:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [13:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [13:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [13:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 0 v2: 0 st: NotStopd t0: [13:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [13:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [14:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [14:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [14:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [14:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 1 v2: 1 st: NotStopd t0: [14:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [14:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [15:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [15:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [15:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [15:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 0 v2: 0 st: NotStopd t0: [15:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [15:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 2-Mild st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 07/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 07/01/2011] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 07/01/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 07/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [16:00:00 07/01/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [16:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [16:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [16:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [16:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 1 v2: 2 st: NotStopd t0: [16:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [16:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 2-Mild st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PCA st: NotStopd t0: [16:00:00 07/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd t0: [16:00:00 07/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd
t0: [16:00:00 07/01/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [16:36:00 07/01/2011] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33 u1: % rs: Final st: NotStopd
t0: [16:36:00 07/01/2011] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 59.3 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 59.3 rs: Final st: NotStopd
t0: [12:00:00 07/01/2011] 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 07/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [12:00:00 07/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [12:00:00 07/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 07/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [12:00:00 07/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/01/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 07/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 07/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/01/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 07/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 07/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 07/01/2011] 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 07/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 07/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [16:00:00 07/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 07/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [16:00:00 07/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 07/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [16:00:00 07/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [16:00:00 07/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 07/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Erythematous st: NotStopd t0: [16:00:00 07/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 07/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 07/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 07/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [16:00:00 07/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 07/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 07/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 07/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 07/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/01/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [16:00:00 07/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 07/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [16:00:00 07/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 07/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [16:00:00 07/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [16:00:00 07/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 07/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 07/01/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 07/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 07/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [17:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [17:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [17:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [17:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [17:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 0 v2: 0 st: NotStopd t0: [17:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [17:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [17:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [17:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [17:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [17:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [18:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 115 u1: BPM st: NotStopd t0: [18:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 07/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [18:00:00 07/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [18:00:00 07/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [18:00:00 07/01/2011] id: PCA Inject/Attempt el: 0 cu: MICU-A cg: RN v1: 0 v2: 0 st: NotStopd t0: [18:00:00 07/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [18:00:00 07/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [18:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 99 u2: mmHg st: NotStopd t0: [18:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [18:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [18:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [18:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [18:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [17:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1250 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:36:00 07/01/2011] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [16:36:00 07/01/2011] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd
t0: [18:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [22:00:00 08/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
t0: [19:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [19:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [19:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [19:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [19:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [19:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [20:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [20:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [20:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [20:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [20:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [20:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 07/01/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 07/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [21:00:00 07/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 07/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 07/01/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [21:00:00 07/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 07/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 07/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [21:00:00 07/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 07/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 07/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 07/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [21:00:00 07/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 07/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 07/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 07/01/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Liquid st: NotStopd t0: [21:00:00 07/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [21:00:00 07/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [21:00:00 07/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 07/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 07/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 07/01/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [20:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [20:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [19:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [21:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [21:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [21:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 96 u2: mmHg st: NotStopd t0: [21:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [21:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [21:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 07/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [22:00:00 07/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [22:00:00 07/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [22:00:00 07/01/2011] id: Stool Out Ileostomy el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [23:00:00 07/01/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 1150 ap: none
t0: [22:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [22:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [22:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [22:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [22:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [22:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [22:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [22:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 07/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [23:00:00 07/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [23:00:00 07/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [23:00:00 07/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 127 u1: BPM st: NotStopd t0: [23:00:00 07/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 07/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [23:00:00 07/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [23:00:00 07/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [23:00:00 07/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 07/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 07/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 07/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [23:00:00 07/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd
t0: [23:44:00 07/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.17 rs: Final st: NotStopd t0: [23:44:00 07/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd
t0: [23:40:00 07/01/2011] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 61.1 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 61.1 rs: Final st: NotStopd
t0: [23:40:00 07/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.3 u1: % rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 266 rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.56 u1: /mic l rs: Final st: NotStopd t0: [23:40:00 07/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd
t0: [00:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [00:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [00:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [00:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [00:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [00:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [00:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [00:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [01:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [01:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [01:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [01:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [01:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [01:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [00:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [00:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [00:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [02:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [02:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [02:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [02:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [02:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [02:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [02:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [02:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [02:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/01/2011] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 08/01/2011] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 08/01/2011] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 2057 ap: none t0: [23:00:00 08/01/2011] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 2157 ap: none t0: [23:00:00 08/01/2011] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 2540 ap: none t0: [23:00:00 08/01/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -1003 ap: none t0: [23:00:00 08/01/2011] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 3160 ap: none t0: [23:00:00 08/01/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: -1366.5 ap: none
t0: [02:40:00 08/01/2011] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] 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: [02:40:00 08/01/2011] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [02:40:00 08/01/2011] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [01:00:00 08/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [01:00:00 08/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 08/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [01:00:00 08/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 08/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 08/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [01:00:00 08/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 08/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 08/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [01:00:00 08/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 08/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [01:00:00 08/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [01:00:00 08/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [01:00:00 08/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [01:00:00 08/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 08/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [03:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [03:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [03:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [03:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [03:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [03:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [03:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [03:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [04:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [04:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [04:00:00 08/01/2011] id: Stool Out Ileostomy el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [03:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/01/2011] 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 08/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [00:00:00 08/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [00:00:00 08/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 08/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [00:00:00 08/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [00:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [04:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [04:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [04:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [04:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [04:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [04:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [05:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [05:00:00 08/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [05:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [05:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [05:00:00 08/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 08/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [05:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 08/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 08/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 08/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [05:00:00 08/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 08/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 08/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy v2: Pink st: NotStopd t0: [05:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [05:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [05:00:00 08/01/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [05:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [05:00:00 08/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 08/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 08/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [05:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 08/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [05:00:00 08/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [05:00:00 08/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 08/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [05:00:00 08/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [06:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [06:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [06:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [06:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [06:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [06:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [06:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [06:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [06:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 08/01/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 08/01/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 08/01/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 08/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [06:00:00 08/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [06:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 08/01/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/01/2011] id: Bath el: 1 cu: MICU-A cg: RN v1: done
t0: [00:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [00:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [00:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [00:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [00:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [06:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [06:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [06:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [06:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Activity st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PCA st: NotStopd t0: [06:00:00 08/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd
t0: [07:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [07:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [07:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [07:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [07:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [07:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [07:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [07:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [08:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [08:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 08/01/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [08:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 08/01/2011] 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 08/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [08:00:00 08/01/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [08:00:00 08/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 08/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [08:00:00 08/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [08:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 08/01/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [08:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [08:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [08:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [08:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [08:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: At Rest st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 6-Mod to Severe st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PCA st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [08:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Prone st: NotStopd t0: [08:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [08:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 08/01/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 08/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 08/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 08/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [08:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 08/01/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [08:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [08:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 155 vu: ml
t0: [07:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:17:00 08/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.7 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.8 u1: % rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 273 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.7 rs: Final st: NotStopd
t0: [08:11:00 08/01/2011] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.16 rs: Final st: NotStopd t0: [08:11:00 08/01/2011] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd
t0: [07:17:00 08/01/2011] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.3 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.3 rs: Final st: NotStopd
t0: [08:00:00 08/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 08/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 08/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 08/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 08/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 08/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 08/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy v2: Pink st: NotStopd t0: [08:00:00 08/01/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 08/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 08/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/01/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 08/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [08:00:00 08/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [08:00:00 08/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [08:00:00 08/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 08/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 08/01/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/01/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 08/01/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 08/01/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 08/01/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/01/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 08/01/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [09:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [09:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [09:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [09:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [09:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [09:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:17:00 08/01/2011] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 10 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [07:17:00 08/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 70.1 rs: Final st: NotStopd t0: [07:17:00 08/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 70.1 rs: Final st: NotStopd
t0: [08:00:00 08/01/2011] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [08:00:00 08/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 08/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Level el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 08/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [10:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [10:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [10:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [10:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [10:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [10:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [10:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Wound st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 3-Mild to Mod st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Incisional st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: PCA st: NotStopd t0: [10:00:00 08/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Constant st: NotStopd t0: [10:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [10:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [10:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/01/2011] id: Stool Out Ileostomy el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [08:00:00 08/01/2011] tf: [21:49:00 08/01/2011] dt: 829 id: Drain Out #1 Jackson Pratt el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [10:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [10:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [10:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 275 vu: ml
t0: [10:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [11:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [11:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [11:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [11:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [11:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 08/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 08/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 08/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 08/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [12:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 08/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 08/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 08/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 08/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 08/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 08/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy v2: Pink st: NotStopd t0: [12:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [12:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [12:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [12:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [12:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [12:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [12:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 08/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 08/01/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [12:00:00 08/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 08/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 08/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 08/01/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 08/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 08/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [12:00:00 08/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [12:00:00 08/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [12:00:00 08/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [12:00:00 08/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 08/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [12:00:00 08/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 08/01/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 08/01/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 08/01/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 08/01/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 08/01/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 08/01/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [12:00:00 08/01/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [12:15:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [12:15:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:15:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:15:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:15:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:15:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:15:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:15:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [12:15:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [12:15:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:15:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [12:15:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:15:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [12:15:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [12:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [12:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 385 vu: ml
t0: [12:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:15:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 08/01/2011] 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 08/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [12:00:00 08/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [12:00:00 08/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [12:00:00 08/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [12:00:00 08/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [12:00:00 08/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [13:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [13:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [13:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [13:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 08/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 08/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [14:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [14:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [14:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [14:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [14:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [14:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [14:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [14:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 08/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [14:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [14:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [14:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [15:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [15:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [15:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [15:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 08/01/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 08/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 08/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 08/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 08/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 08/01/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 08/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 08/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd
t0: [14:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [14:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [16:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [16:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml
t0: [13:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 08/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [12:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [14:00:00 08/01/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 08/01/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [14:00:00 08/01/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [14:00:00 08/01/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [16:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 08/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [16:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 08/01/2011] 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 08/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [16:00:00 08/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [16:00:00 08/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [16:00:00 08/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [16:00:00 08/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [16:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy v2: Pink st: NotStopd t0: [16:00:00 08/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [16:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [16:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 08/01/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [16:00:00 08/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 08/01/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 08/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 08/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [16:00:00 08/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [16:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [16:00:00 08/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 08/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Voids st: NotStopd t0: [16:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 08/01/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/01/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 08/01/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 08/01/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 08/01/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/01/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [16:00:00 08/01/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [12:00:00 08/01/2011] tf: [21:49:00 08/01/2011] dt: 589 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [14:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 325 vu: ml t0: [16:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [16:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/01/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 100 ap: none
t0: [18:00:00 08/01/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 102 rs: Manual st: NotStopd
t0: [17:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [17:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 122 u1: BPM st: NotStopd t0: [17:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [17:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [17:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [17:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [18:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [18:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [18:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [18:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [19:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [19:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [19:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [19:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [19:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [18:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [18:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [17:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 08/01/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Range of Motion el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Cartridge/Bag Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Initials (2 RNs) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Med Wasted/Amt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: NBP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: NBP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Restraint Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Restraint Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/01/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 08/01/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/01/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 08/01/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: NSICU st: NotStopd t0: [20:00:00 08/01/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/01/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 08/01/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/01/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/01/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 08/01/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 08/01/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 08/01/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 08/01/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/01/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 08/01/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 08/01/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 08/01/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/01/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [20:00:00 08/01/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 08/01/2011] id: INV Line#1 D/C Date el: 0 cu: MICU-A cg: RN v1: 1/ v2: 10 st: NotStopd t0: [20:00:00 08/01/2011] 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 08/01/2011] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/01/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 8 st: NotStopd t0: [20:00:00 08/01/2011] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/01/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Antecub v2: 22 gauge st: NotStopd t0: [20:00:00 08/01/2011] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 08/01/2011] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 9 st: NotStopd t0: [20:00:00 08/01/2011] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [20:00:00 08/01/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/01/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/01/2011] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/01/2011] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/01/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 08/01/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/01/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/01/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 08/01/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/01/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 08/01/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 08/01/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/01/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 08/01/2011] id: Ostomy/Appearance el: 0 cu: MICU-A cg: RN v1: Ileostomy v2: Pink st: NotStopd t0: [20:00:00 08/01/2011] id: PCA 1 Hr Limit (mg) el: 0 cu: MICU-A cg: RN v1: 5mg st: NotStopd t0: [20:00:00 08/01/2011] id: PCA Basal Rate el: 0 cu: MICU-A cg: RN v1: 0 st: NotStopd t0: [20:00:00 08/01/2011] id: PCA Dose el: 0 cu: MICU-A cg: RN v1: .5 mg st: NotStopd t0: [20:00:00 08/01/2011] id: PCA Lockout (Min) el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [20:00:00 08/01/2011] id: PCA Medication el: 0 cu: MICU-A cg: RN v1: Morphine Sulfate st: NotStopd t0: [20:00:00 08/01/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/01/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [20:00:00 08/01/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/01/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg st: NotStopd t0: [20:00:00 08/01/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 08/01/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 08/01/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Supervised st: NotStopd t0: [20:00:00 08/01/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/01/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 99.1 u1: kg st: NotStopd t0: [20:00:00 08/01/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/01/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/01/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/01/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 08/01/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/01/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/01/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [20:00:00 08/01/2011] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 08/01/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Ileostomy st: NotStopd t0: [20:00:00 08/01/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Friend st: NotStopd t0: [20:00:00 08/01/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/01/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 08/01/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 08/01/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 08/01/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/01/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/01/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 08/01/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/01/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 08/01/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 08/01/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 08/01/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 08/01/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 08/01/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 08/01/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 08/01/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 08/01/2011] id: D5/.45NS 10000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 160 vu: ml t0: [20:00:00 08/01/2011] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [20:00:00 08/01/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [20:00:00 08/01/2011] id: Stool Out Ileostomy el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [20:00:00 08/01/2011] id: Drain Out #1 Jackson Pratt el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [20:00:00 08/01/2011] id: Heparin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1350 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/01/2011] dt: 24 id: Stool Out Total el: 2 cu: -1 cg: RN cv: 560 ap: none t0: [23:00:00 08/01/2011] dt: 24 id: Drain #1 Total Out el: 2 cu: -1 cg: RN cv: 60 ap: none
t0: [20:30:00 08/01/2011] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.2 u1: % rs: Final st: NotStopd
t0: [20:30:00 08/01/2011] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 43 rs: Final st: NotStopd t0: [20:30:00 08/01/2011] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 43 rs: Final st: NotStopd
tf: [23:00:00 08/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [17:00:00 09/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [07:00:00 11/01/2011] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron v1: 2 u1: mg
tf: [11:00:00 10/01/2011] pt: Unit Dose rt: PO fr: ONCE MR1 fs: 12 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [10:00:00 10/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [17:00:00 11/01/2011] pt: Unit Dose rt: IVPCA fr: ASDIR m1: Morphine Sulfate v1: 0.5 u1: mg
tf: [19:00:00 11/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: Q24H fs: 8 dn: 1 m1: Pantoprazole v1: 40 u1: mg
tf: [15:00:00 12/01/2011] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 20 u1: mg tf: [15:00:00 12/01/2011] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 5 u1: mg tf: [08:00:00 16/01/2011] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg
tf: [15:00:00 12/01/2011] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
tf: [13:00:00 13/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [09:00:00 13/01/2011] pt: Unit Dose rt: PO fr: QAM fs: 8 dn: 1 m1: Prednisone v1: 20 u1: mg tf: [22:00:00 13/01/2011] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Propoxyphene Nap.-Apap (N-100) v1: 1 u1: TAB
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: QAM fs: 8 dn: 1 m1: Baclofen v1: 30 u1: mg
tf: [16:00:00 14/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 7.5 u1: mg tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Baclofen v1: 35 u1: mg tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: QPM fs: 22 dn: 1 m1: Prednisone v1: 5 u1: mg
tf: [16:00:00 14/01/2011] pt: Unit Dose rt: PO fr: QAM fs: 8 dn: 1 m1: Prednisone v1: 15 u1: mg
tf: [09:00:00 14/01/2011] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [09:00:00 15/01/2011] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Propoxyphene Nap.-Apap (N-100) v1: 1 u1: TAB
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: QAM fs: 8 dn: 1 m1: Prednisone v1: 20 u1: mg
tf: [15:00:00 15/01/2011] pt: Unit Dose rt: PO fr: ONCE fs: 16 dn: 1 m1: Prednisone v1: 5 u1: mg
tf: [19:00:00 14/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 7.5 u1: mg tf: [09:00:00 15/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 5 u1: mg
tf: [10:00:00 16/01/2011] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Propoxyphene Nap.-Apap (N-100) v1: 1-2 u1: TAB
tf: [10:00:00 17/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 1 u1: mg tf: [16:00:00 17/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 2 u1: mg
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Propoxyphene Nap.-Apap (N-100) v1: 1-2 u1: TAB
tf: [16:00:00 17/01/2011] pt: Unit Dose rt: PO fr: ONCE fs: 17 dn: 1 m1: Warfarin v1: 1 u1: mg tf: [16:00:00 18/01/2011] pt: Unit Dose rt: PO fr: ONCE fs: 17 dn: 1 m1: Warfarin v1: 1 u1: mg
tf: [19:00:00 19/01/2011] pt: Unit Dose rt: PO fr: Q24H fs: 9 dn: 1 m1: Levofloxacin v1: 500 u1: mg
tf: [18:00:00 19/01/2011] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Warfarin v1: 1 u1: mg
tf: [16:00:00 17/01/2011] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 3 u1: mg
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: 6924 ds: 2 ld: CHEMICAL DERMATITIS NEC
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: 6924 ds: 2 ld: CHEMICAL DERMATITIS NEC
dd: 41519 ds: 1 ld: OTHER PULM EMBOL/INFARCT
dd: 340 ds: 4 ld: MULTIPLE SCLEROSIS dd: 41511 ds: 2 ld: IATROG PULM EMBOL/INFARC dd: 5569 ds: 5 ld: ULCERATIV COLITIS UNSPEC dd: 5990 ds: 3 ld: URIN TRACT INFECTION NOS dd: 79092 ds: 1 ld: ABNORM COAGULAT PROFILE dd: V443 ds: 6 ld: COLOSTOMY STATUS
dd: 41511 ds: 1 ld: IATROG PULM EMBOL/INFARC dd: 9974 ds: 2 ld: DIGEST SYSTEM COMPLIC
dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC dd: 7823 ds: 1 ld: EDEMA
dd: 0091 ds: 1 ld: ENTERITIS OF INFECT ORIG
dd: 41519 ds: 1 ld: OTHER PULM EMBOL/INFARCT dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC dd: 6259 ds: 3 ld: FEM GENITAL SYMPTOMS NOS dd: V5861 ds: 4 ld: LONG-TERM USE ANTICOAGUL
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: 6924 ds: 2 ld: CHEMICAL DERMATITIS NEC dd: V1251 ds: 4 ld: PERS HX VENOUS THROM/EMB
dd: 41519 ds: 1 ld: OTHER PULM EMBOL/INFARCT dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC dd: 6259 ds: 3 ld: FEM GENITAL SYMPTOMS NOS dd: V5861 ds: 4 ld: LONG-TERM USE ANTICOAGUL
dd: 340 ds: 2 ld: MULTIPLE SCLEROSIS dd: 49390 ds: 4 ld: ASTHMA, UNSPECIFIED dd: 5569 ds: 3 ld: ULCERATIV COLITIS UNSPEC dd: V1251 ds: 5 ld: PERS HX VENOUS THROM/EMB dd: V552 ds: 1 ld: ATTEN TO ILEOSTOMY
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 99811 ds: 1 ld: HEMORR COMPLIC PROCEDURE dd: E8788 ds: 2 ld: ABN REACT-SURG PROC NEC
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 4 ld: ULCERATIV COLITIS UNSPEC dd: 99811 ds: 1 ld: HEMORR COMPLIC PROCEDURE dd: 99889 ds: 1 ld: OTHR SPEC COMPL NOT CLAS dd: E8783 ds: 2 ld: ABN REACT-EXTERNAL STOMA dd: E8788 ds: 2 ld: ABN REACT-SURG PROC NEC
dd: 4619 ds: 1 ld: ACUTE SINUSITIS NOS dd: 5990 ds: 2 ld: URIN TRACT INFECTION NOS
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 41519 ds: 1 ld: OTHER PULM EMBOL/INFARCT dd: 5569 ds: 4 ld: ULCERATIV COLITIS UNSPEC dd: 5990 ds: 5 ld: URIN TRACT INFECTION NOS dd: 7840 ds: 2 ld: HEADACHE
dd: 4539 ds: 1 ld: VENOUS THROMBOSIS NOS
dd: V5861 ds: 1 ld: LONG-TERM USE ANTICOAGUL
dd: 340 ds: 4 ld: MULTIPLE SCLEROSIS dd: 4539 ds: 5 ld: VENOUS THROMBOSIS NOS dd: 70400 ds: 3 ld: ALOPECIA NOS dd: 78841 ds: 2 ld: URINARY FREQUENCY dd: 78903 ds: 1 ld: ABDOMIN PAIN RIGHT LOWER
dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC dd: V5861 ds: 3 ld: LONG-TERM USE ANTICOAGUL dd: V741 ds: 1 ld: SCREENING-PULMONARY TB
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 72981 ds: 1 ld: SWELLING OF LIMB dd: 78079 ds: 2 ld: OTHER MALAISE & FATIGUE
dd: 340 ds: 4 ld: MULTIPLE SCLEROSIS dd: 7806 ds: 1 ld: FEVER dd: 7823 ds: 2 ld: EDEMA dd: 78791 ds: 3 ld: DIARRHEA
dd: 4240 ds: 1 ld: MITRAL VALVE DISORDER dd: 4242 ds: 2 ld: NONRHEUM TRICUSP VAL DIS dd: V5861 ds: 3 ld: LONG-TERM USE ANTICOAGUL
dd: V5861 ds: 1 ld: LONG-TERM USE ANTICOAGUL
dd: 4539 ds: 1 ld: VENOUS THROMBOSIS NOS
dd: 70211 ds: 1 ld: INFLAMED SEBORRHEIC KERA
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 5569 ds: 2 ld: ULCERATIV COLITIS UNSPEC dd: 7823 ds: 1 ld: EDEMA
dd: 07999 ds: 1 ld: UNSPEC VIRAL INFECTIONS dd: 4660 ds: 2 ld: ACUTE BRONCHITIS dd: 7862 ds: 3 ld: COUGH dd: 7869 ds: 4 ld: RESP SYS/CHEST SYMP NEC
dd: 55320 ds: 1 ld: VENTRAL HERNIA NOS
dd: V5861 ds: 1 ld: LONG-TERM USE ANTICOAGUL
dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 55320 ds: 1 ld: VENTRAL HERNIA NOS dd: 5559 ds: 2 ld: REGIONAL ENTERITIS NOS dd: V7284 ds: 4 ld: PRE-OP EXAM, UNSPECIFIED
dd: 2554 ds: 5 ld: CORTICOADRENAL INSUFFIC dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 49390 ds: 6 ld: ASTHMA, UNSPECIFIED dd: 55321 ds: 1 ld: INCISIONAL HERNIA dd: 5569 ds: 4 ld: ULCERATIV COLITIS UNSPEC dd: 79092 ds: 7 ld: ABNORM COAGULAT PROFILE dd: 99889 ds: 2 ld: OTHR SPEC COMPL NOT CLAS dd: V1251 ds: 8 ld: PERS HX VENOUS THROM/EMB
dd: 2554 ds: 9 ld: CORTICOADRENAL INSUFFIC dd: 29281 ds: 6 ld: DRUG-INDUCED DELIRIUM dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 340 ds: 5 ld: MULTIPLE SCLEROSIS dd: 55321 ds: 7 ld: INCISIONAL HERNIA dd: 5672 ds: 3 ld: SUPPURAT PERITONITIS NEC dd: 5849 ds: 4 ld: ACUTE RENAL FAILURE NOS dd: 99669 ds: 1 ld: INFECT DUE TO OTH PROS I dd: 99859 ds: 1 ld: OTHER POSTOP INFECTION dd: 9986 ds: 2 ld: PERSIST POSTOP FISTULA dd: E8788 ds: 2 ld: ABN REACT-SURG PROC NEC dd: E9320 ds: 8 ld: ADV EFF CORTICOSTEROIDS dd: V1251 ds: 10 ld: PERS HX VENOUS THROM/EMB
dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS
dd: 7224 ds: 1 ld: CERVICAL DISC DEGEN dd: 7230 ds: 2 ld: CERVICAL SPINAL STENOSIS
dd: 5939 ds: 1 ld: RENAL & URETERAL DIS NOS
dd: 4539 ds: 1 ld: VENOUS THROMBOSIS NOS
dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 5559 ds: 4 ld: REGIONAL ENTERITIS NOS dd: 78052 ds: 2 ld: INSOMNIA, UNSPECIFIED dd: 7944 ds: 3 ld: ABN KIDNEY FUNCT STUDY
dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 4539 ds: 2 ld: VENOUS THROMBOSIS NOS
dd: 41519 ds: 1 ld: OTHER PULM EMBOL/INFARCT
dd: 311 ds: 2 ld: DEPRESSIVE DISORDER NEC dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 7944 ds: 4 ld: ABN KIDNEY FUNCT STUDY dd: 99883 ds: 3 ld: NON-HEALING SURG WOUND
dd: 2720 ds: 2 ld: PURE HYPERCHOLESTEROLEM dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 55092 ds: 4 ld: BILAT INGUINAL HERNIA dd: 78079 ds: 3 ld: OTHER MALAISE & FATIGUE dd: 7944 ds: 5 ld: ABN KIDNEY FUNCT STUDY
dd: 2554 ds: 1 ld: CORTICOADRENAL INSUFFIC
dd: 29622 ds: 1 ld: DEPRESSIVE PSYCHOSIS-MOD dd: 340 ds: 2 ld: MULTIPLE SCLEROSIS dd: 4539 ds: 1 ld: VENOUS THROMBOSIS NOS
dd: 4519 ds: 1 ld: THROMBOPHLEBITIS NOS
dd: 2949 ds: 2 ld: UNPSEC PERSIST MENTAL DI dd: 29622 ds: 1 ld: DEPRESSIVE PSYCHOSIS-MOD
dd: 28989 ds: 1 ld: OTH SPECIFIED DISEASES O dd: 41519 ds: 3 ld: OTHER PULM EMBOL/INFARCT dd: 7944 ds: 2 ld: ABN KIDNEY FUNCT STUDY
dd: 41519 ds: 2 ld: OTHER PULM EMBOL/INFARCT dd: 7944 ds: 1 ld: ABN KIDNEY FUNCT STUDY
dd: 2949 ds: 1 ld: UNPSEC PERSIST MENTAL DI dd: 29622 ds: 2 ld: DEPRESSIVE PSYCHOSIS-MOD dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 41519 ds: 4 ld: OTHER PULM EMBOL/INFARCT dd: 41519 ds: 7 ld: OTHER PULM EMBOL/INFARCT dd: 61172 ds: 3 ld: LUMP OR MASS IN BREAST dd: 78791 ds: 4 ld: DIARRHEA dd: 7944 ds: 3 ld: ABN KIDNEY FUNCT STUDY dd: 7944 ds: 6 ld: ABN KIDNEY FUNCT STUDY dd: V5861 ds: 2 ld: LONG-TERM USE ANTICOAGUL dd: V762 ds: 5 ld: SCREEN MAL NEOP-CERVIX
dd: 27650 ds: 1 ld: VOLUME DEPLETION, UNSPEC
dd: 5560 ds: 1 ld: ULCERATIVE ENTEROCOLITIS
dd: 340 ds: 7 ld: MULTIPLE SCLEROSIS dd: 49390 ds: 6 ld: ASTHMA, UNSPECIFIED dd: 5589 ds: 2 ld: NONINF GASTROENTERIT NEC dd: 5692 ds: 4 ld: RECTAL & ANAL STENOSIS dd: 9974 ds: 1 ld: DIGEST SYSTEM COMPLIC dd: E8782 ds: 3 ld: ABN REACT-ANASTOM/GRAFT dd: V1259 ds: 5 ld: PERS HX OTH DIS CIRC SYS
dd: 2949 ds: 1 ld: UNPSEC PERSIST MENTAL DI dd: 29622 ds: 2 ld: DEPRESSIVE PSYCHOSIS-MOD dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 41519 ds: 5 ld: OTHER PULM EMBOL/INFARCT dd: 7944 ds: 4 ld: ABN KIDNEY FUNCT STUDY
dd: 2949 ds: 1 ld: UNPSEC PERSIST MENTAL DI dd: 29622 ds: 2 ld: DEPRESSIVE PSYCHOSIS-MOD dd: 340 ds: 3 ld: MULTIPLE SCLEROSIS dd: 4019 ds: 4 ld: HYPERTENSION NOS dd: 41519 ds: 7 ld: OTHER PULM EMBOL/INFARCT dd: 53081 ds: 5 ld: ESOPHAGEAL REFLUX dd: 7944 ds: 6 ld: ABN KIDNEY FUNCT STUDY
dd: 2554 ds: 1 ld: CORTICOADRENAL INSUFFIC
dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS
dd: 41519 ds: 1 ld: OTHER PULM EMBOL/INFARCT dd: 7944 ds: 2 ld: ABN KIDNEY FUNCT STUDY
dd: 2949 ds: 1 ld: UNPSEC PERSIST MENTAL DI dd: 29622 ds: 2 ld: DEPRESSIVE PSYCHOSIS-MOD dd: 78791 ds: 1 ld: DIARRHEA
dd: 340 ds: 1 ld: MULTIPLE SCLEROSIS dd: 41519 ds: 3 ld: OTHER PULM EMBOL/INFARCT dd: 7944 ds: 2 ld: ABN KIDNEY FUNCT STUDY
dd: 6929 ds: 1 ld: DERMATITIS NOS
dd: 2949 ds: 1 ld: UNPSEC PERSIST MENTAL DI dd: 29622 ds: 2 ld: DEPRESSIVE PSYCHOSIS-MOD
dd: 41519 ds: 2 ld: OTHER PULM EMBOL/INFARCT dd: 7944 ds: 1 ld: ABN KIDNEY FUNCT STUDY
dd: 41519 ds: 3 ld: OTHER PULM EMBOL/INFARCT dd: 5569 ds: 1 ld: ULCERATIV COLITIS UNSPEC dd: 7944 ds: 2 ld: ABN KIDNEY FUNCT STUDY